REGISTRATION FORM

2003 IEEE Workshop on Applications of Signal Processing to Audio and Acoustics

Mohonk Mountain House, New Paltz, NY

October 19-22, 2003

REGISTRATION INFORMATION

Your nametag will be printed using the name and affiliation given. If you want the nametag to appear differently, please indicate this.

Name	________________________________________________________________
Affiliation	________________________________________________________________
Address	________________________________________________________________
	________________________________________________________________
	________________________________________________________________
Phone	________________________________________________________________
Fax	________________________________________________________________
E-mail	________________________________________________________________
IEEE Membership Number (if applicable)		__________________________________________
Degree Program (for student members)		__________________________________________

REGISTRATION FEES

		On or before Sept 1, 2003	After Sept 1, 2003	Subtotal
	IEEE Members	$200	$400
	IEEE Student Members	$150	$200
	Nonmembers	$300	$450
For attendees not staying at the Mohonk Mountain House:
	Day charges	$90 per day	× # days ____
	Dinner charges	$50 per day	× # days ____
			Total Charges:

____ VISA

____ MasterCard

____ Check drawn on U.S. Bank

PAYMENT METHOD:

Credit Card Number	_______________________	Expiration Date	_____________
Name on credit card	________________________________________________________
Signature	________________________________________________________
Billing Address	________________________________________________________
	________________________________________________________
	________________________________________________________
Phone Number	________________________________________________________

PAYMENT METHODS

Payments are accepted via VISA, MasterCard, and checks drawn on U.S. banks. Make checks payable to “IEEE 2003 WASPAA�.  We regret that we are unable to accept wire transfers, purchase orders, or checks drawn on non-U.S. banks.

DAY/DINNER CHARGES

These charges apply only to workshop participants who are not staying at the Mountain House. The Mountain House bills the workshop a daily charge for each non-resident attending the workshop, and a separate dinner charge for each non-resident attending dinner. The daily charge includes use of the conference facilities, use of the grounds, and lunch. We regret that there is no discount if you have lunch elsewhere.  Please indicate the number of days (Monday, Tuesday, Wednesday) and number of dinners (Sunday, Monday, Tuesday) you will attend.

REFUNDS

Full refunds will be made for cancellations on or before September 1, 2003. Refunds are not available after that date.

RECEIPTS

Receipt of this form will be acknowledged by email, if given. Receipts for payment will be included with the registration pack given to workshop participants.

MOHONK MOUNTAIN HOUSE

Most participants stay at the Mountain House.  The workshop has reserved a block of 40 single and 40 double rooms. Reservations should be made before September 15, 2003. After this date, reservations will be accepted on a space available basis only. Reservations must be made by contacting the hotel directly:

Mohonk Mountain House	Telephone	+1 845 255 1000
Lake Mohonk	Fax	+1 845 256 2161
New Paltz, New York 12561	Reservations direct line	+1 800 772 6646

ROOM RATES

The room rates are $216 for a single room and $168 for a double room, quoted per person, per night. Room rates are subject to a 15% service charge and 8.25% tax.  Subject to availability, these rates may be extended on either end of the conference dates.  The Mountain House provides three consecutive meals daily, beginning with dinner on the day of arrival through lunch on the day of departure. Credit is not extended for missing meals.

DRESS CODE

Attendees who are arriving early or staying late should be aware that the Mountain House requires gentlemen to wear jackets for dinner in the main dining room.  However, because the workshop has its own dining room for dinner, jackets are not required during the workshop.

CHECK-IN/CHECK-OUT

Check-in begins after 4:00 pm, and check-out time is 2:00 pm.  Participants may arrive earlier than the check-in time; the Mountain House will store any baggage until the rooms are ready.

CONTACT

Please mail the first page of this form, along with your check, to:

Gregory Wakefield, General/Finance Chair, IEEE 2003 WASPAA

University of Michigan

1101 Beal Ave.

Ann Arbor, MI 48109

For credit card payments, you can send the form by fax to +1 734 763 1260. 

Questions? Call Gregory Wakefield at +1 734 763 1254, or via e-mail at ghw@umich.edu.