Spacewire

TECHNICAL and ACTIVITIES REGISTRATION FORM

Payment must be made in US Dollars by credit card only.
(no wire transfers or checks)


Please complete this form to register for the 2013 International SpaceWire Conference.

First Name: Last Name:
Company:
Address 1:
Address 2:
City:
State: Post/Zip Code:
Country:
Email:
Telephone: Fax:
Invitation Letters will be provided after you register. If your VISA is not received, a refund will
be provided minus a handling fee. Will you require an invitation letter?     No      Yes
Passport #:Country of Origin:
Origin date: Expiration date:

TECHNICAL REGISTRATION

Includes:• Tutorial, Technical/Poster sessions • City Reception, Tuesday, June 11
• 3 lunches • Conference Gala Dinner, Wednesday, June 12
• AM/PM Breaks
Cost
 Quantity
(1 per registration above)
Standard Rate:
Technical Sessions: $700 USD
Student Rate:
Technical Sessions: $500 USD
Monday Tutorials:
Attending? No Yes

ACTIVITIES - REGISTRANT

• City reception with Goteborg Mayor:
Tue, June 11
Attending? No Yes
• Conference Gala Dinner:
Wed, June 12
Attending? No Yes
Please indicate food preference:
No Preference Vegetarian
Gluten Free Vegan
* We cannot assure availability if not marked
• Goteborg Cruise-Tour of the Archipelago:
Fri, June 14
Cost: $195.00 USD
Quantity:
* Registration should be by May 2013
* 24 must participate; a full refund will be made if the TOUR is canceled

ACTIVITIES - ACCOMPANYING GUEST Guest?     NAME ON BADGE:

Invitation Letters will be provided after you register. Do you have a Guest that requires an invitation letter?     No      Yes
Passport #:Country of Origin: Origin date: Expiration date:
• City reception with Goteborg Mayor:
Tue, June 11
Cost: Complimentary
Quantity:
• Conference Gala Dinner:
Wed, June 12
Cost:$130.00 USD
Quantity:
Please indicate food preference:
No Preference Vegetarian
Gluten Free Vegan
* We cannot assure availability if not marked
• Goteborg Cruise-Tour of the Archipelago:
Fri, June 14
Cost: $195.00 USD
Quantity:
* Registration should be by May 2013
* 24 must participate; a full refund will be made if the TOUR is canceled

REGISTRATION PAYMENT:

Payment must be made in US Dollars by credit card only (no wire transfers or checks).

Registration Total:

On-Site Registration will be available:
If you plan to register On-Site – we’d appreciate notification at Teresa.farris@aeroflex.com! Thanks!

Questions on registration:
Please Email Teresa.farris@aeroflex.com or call 1-719-594-8035

Cancellation Policy:
Refund requests must be submitted by May 6, 2013 and will be processed after the conference. A handling fee will apply.