AUTHOR
REGISTRATION FORM -
ACC-2010
September 15-17, 2010
The Florida Hotel & Conference Center, Orlando, Florida USA
All registration materials must
be received by JULY 16, 2010 for your paper(s) to be
published in the proceedings.
Please complete this form (TYPE or PRINT
CLEARLY)
and return before JULY 16, 2010.
PAPER #
________________ Number of Pages _____________
FIRST Name ________________________ MI
_____ LAST Name __________________________________________
Title (
¨ Dr. or
¨
Student) and (¨ Mr.
¨Mrs.
¨Ms.)
Position
______________ Organization ______________________
Address __________________________________________________________________________________________
City
___________ State/Province
______________ Zip/Postal Code _____________ Country
__________________
Telephone ________________________________ Fax
______________________________________________
E-mail ____________________________________ List your areas of interest
________________________________
PLEASE NOTE: NON-MEMBERS who would like to
become a NEW ISCA member at this time, or if you would like
to renew your
ISCA Membership at this time, please check both the ISCA MEMBER
RATE * and the 2010 ISCA
MEMBERSHIP** boxes below.
| ISCA MEMBER RATE * | $450.00 | _________ |
| NON-MEMBER | $550.00 | _________ |
| 2010 ISCA MEMBERSHIP ** | $100.00 | _________ |
| ADDITIONAL FEES: | ||
| Extra page fee (per paper): | $ 60.00 / each page | _________ |
| Additional PAPERS, if any: | 1/2 registration fee/ each | _________ |
| Additional Luncheon Ticket: | $ 50.00 / each | _________ |
| Additional ACC-SPA-2010 CD Proceedings : | ||
| ISCA member | $ 50.00 / each | _________ |
| Non-member | $ 75.00 / each | _________ |
| Proceedings (BOOK format) can be ordered online at www.proceedings.com approximately two weeks after the conference. | ||
| TOTAL: | _________ |
METHOD OF PAYMENT:
__Check __Money Order
__Visa __MasterCard
Payment may be made by check, International money order (in U.S. dollars drawn
on a U.S. Bank made payable to ISCA), or credit card in U. S. Dollars.
Credit Card # __ __ __ __ - __ __ __ __ - __
__ __ __ - __ __ __
__
Expiration Date ________/_______
Security Number on
Back of Credit Card ______________
Print Name as it appears on Card
______________________________
Billing Street Address
No. __________________________ ZIP CODE of
Billing
Address _________________
_________________________________________________________
(Signature
REQUIRED)
(PLEASE INDICATE YOUR CHOICE BELOW)
I plan to attend the complimentary
LUNCHEON
on September 16, 2010
¨Yes
¨
No
Special dietary requirements:
_________________________
Conference Proceedings will be distributed in CD FORMAT.
A/V Equipment: Overhead Projectors and LCD Projectors with laptops will be provided. For your convenience, presenters planning to use an LCD projector only need to bring their presentation on a USB Memory Stick.
AUTHOR REGISTRATION FEE: An author may register one paper at this fee. See ADDITIONAL FEES
(above) for
more than 1 registered paper
and extra page charges.
The conference full registration fee includes
refreshments during the conference,
a Luncheon banquet on Sept. 16, 2010, and one copy of the
conference proceedings in CD format.
REGISTRATION FEES ARE NON-REFUNDABLE. Please email the
camera-ready manuscript in PDF format (example:
207.pdf) and a brief biography of the presenter
with picture to isca@ipass.net.
List the FULL NAME of ALL AUTHORS on your final manuscript. Then FAX
(919) 467-3430 or mail this completed form along with
the Registration Fee, a brief bio, and the signed ISCA
Copyright Form to:
ISCA
ATTN: Conference Registrar - ACC-2010
975 Walnut Street, Suite 132
Cary, NC 27511-4216
EIN NO: 56-1799522
If you have any registration questions, please contact us: Telephone: (919) 467-5559; Fax: (919) 467-3430; Email: isca@ipass.net