PIERS 2002 Exhibition On-Line Registration

Contact Information

Last Name:

First Name:

Title:

Company:

Phone:

Fax:

Address:

City:

State:

Zip Code:

Country:

E-mail:

Registration Fee

Exhibitors:

US$1000 per booth

Publishers:

US$355 per person

Payment by Check or Money Order

Check or money order should be made payable to PIERS and sent to:

PIERS Office
c/o Prof. J. A. Kong
Room 26-305
77 Massachusetts Avenue
Cambridge, MA 02139, USA

Payment by Wire Transfering

Payment should be wired to the following PIERS bank account:

Fleet Boston
100 Federal Street, Boston, MA 02110, USA
ABA Routing No.: 0110-0013-8 (USA)
SWIFT Address FLTB US3B (International)
For Credit to: The Electromagnetics Academy/PIERS
Address: P.O. Box 425518, Kendall, Cambridge, MA 02142, USA
Account Number: 0144855836

Payment by credit card
(interception of card number by third party is not protected)

Card name:

Credit Card Number:

(e.g. 1234567890123456)
Expiration Date: mm yy

Cardholder Name: