Society for Experimental Mechanics (SEM): Register for IMPLAST 2010

Society for Experimental Mechanics, Inc.

IMPLAST 2010 - SEM Fall Conference
Theme: A Symposium on Plasticity and Impact (including Blast) Mechanics

Registration Form

Name & Address

First (Given) Name:

M.I.:

Last (Family) Name:

Spouse (if attending)

First Name:

Last Name:

SEM Member Number:

(Number only, or leave blank)

Company/University:

Address:

City:	State:	Zip/Postal Code:

Country:

Phone:

Fax:

Email:

Please Check:

Speaker, Session:
1st time attending Conference

Special menu requirements:

Please enter any special menu requirements if you will be attending any events where food is served. (Don't forget your guests if you are signing up more than yourself for a meal at a "Conference Add-On".)

Selections

CONFERENCE REGISTRATION

Your registration includes the following: Admission to the three-day conference, IMPLAST 2010, CD Proceedings, coffee breaks and complimentary lunch all three days, Welcome Reception on Tuesday, October 12 and one ticket to the Conference Dinner on Wednesday, October 14.

	Individual	$600.00
	Student*	$125.00
	None


	* Special reduced Student Rate sponsored by the SEM Education Fund

Payment Information

Payment Method:

Charge my Credit Card Online
Invoice my Company. REQUIRES Purchase Order. Fax (+203 790 4472) or email (reg@sem1.com) Purchase Order immediately. Registration will not be processed until PO received.
Mail in Check
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Please Note: When paying by check, please make checks payable to: SEM in US dollars, drawn on US bank.

Enter any pertinent information here:

Comments:

Please copy the number 8519263 into the box to the right.

To retain a copy for your records, print this page before submitting.

After you have submitted your registration, you will be taken to a "Thank you" page. If you arrive at the thank-you page, your registration has been submitted successfully and we have received it.

If you experience any difficulty with this form, please let us know at reg@sem1.com. Thank you.

Society for Experimental Mechanics, Inc.

IMPLAST 2010 - SEM Fall ConferenceTheme: A Symposium on Plasticity and Impact (including Blast) Mechanics

Name & Address

CONFERENCE REGISTRATION

Payment Information

IMPLAST 2010 - SEM Fall Conference
Theme: A Symposium on Plasticity and Impact (including Blast) Mechanics