Registration
Form - mail this to the address below
I enclose cheque for $ . . . . . . . . payable to IEEE Ottawa Section
Name . . . . . . . . . . . . . . . . . . . . .. . .
Questionnaire discount applicable? . . . . . .. . . . . . . . .
IEEE member #. . . . . . . . IEE members # . .. . . . . . . .
If applying for student rates - Are you a Student member? . .
Full-time studies at . . . . . . for the degree of . . . . . . . . .
Phones. . . . . . . . . . . . . . . fax. . . .. . . email. . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .
I prefer acknowledgement by mail, email, fax, phone - circle which fax 728-9143
mail to Hugh
Reekie, 164 Bayswater Ave, Ottawa, Ontario
K1Y2G3
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