Society for Experimental Mechanics (SEM): Register for SEM XII International Congress & Exposition on Experimental & Applied Mechanics

Society for Experimental Mechanics, Inc.

SEM XII International Congress & Exposition on Experimental & Applied Mechanics
Theme: Measurement Challenges for New Structures and Materials

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 Annual 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

Conference registration fee includes Conference Proceedings, Welcome Reception, 3-day Exposition, Presidents Reception, & one ticket to the All Society Awards Luncheon. Students must submit a letter proving full-time status to qualify for student rates.

	Member	$775.00
	Member + Membership Renewal	$847.00
	Non-Member	$875.00
	Student Member	$175.00
	Student Non-Member	$225.00
	Retired SEM Member	$0.00
	Exposition Only	$0.00
	None

Payment of Non-Member Registration fees entitles you to one year's free membership in SEM.
	No, thank you. Although I am a Non Member, I do not wish a free membership in SEM.
	Yes, I am a Non Member and I would like one year's free membership in SEM.
	No, thank you. I am already a member of SEM.

Conference registration includes only one ticket to the luncheon. Additional tickets may be ordered in the Conference Add-On section below. Also, in order for us to prepare properly we must have an indication of the number of attendees. Therefore, please select one of the two options here:
	Yes, I plan to attend the Luncheon.
	No, I do not plan to attend the luncheon.

PRECONFERENCE COURSES (Optional)

All courses will be held Sunday, June 10, 2012 and include course notes and refreshment break(s). Course 101 includes lunch.

Full-Day Course

101. The Virtual Fields Method	Regular	$300.00
	Student	$150.00
None.

Half-Day Course - AM

102. Instrumented Indentation Testing — CANCELLED	Regular	$0.00
	Student	$0.00
None.

Half-Day Course - PM

103. Designing MEMS in Sandia's SUMMiT Process — CANCELLED	Regular	$200.00
	Student	$100.00

104. Measurement Uncertainty Analysis — CANCELLED	Regular	$0.00
	Student	$0.00
None.

CONFERENCE ADD-ONS (Optional)

Additional Ticket(s) for the SEM All Society Awards Luncheon, Wed., June 13

$60.00 /ea

Qty

SEM MEMBERSHIP ADD-ONS (Optional)

	ET Print Version		$65.00
	EM Print Version		$75.00
	BSSM Membership		$82.00
	MTDM		$65.00
	MSSP		$139.00
	JVC		$77.00
	Contact SEM Staff about optional Air Mail postage rates.

TAX DEDUCTIBLE DONATIONS (Optional)

Contribution to SEM Development Fund:	Enter desired amount (number only, no "$")	$
Contribution to SEM Education Fund:	Enter desired amount (number only, no "$")	$
Contribution to SEM Building Fund:	Enter desired amount (number only, no "$")	$
Contribution to D.J. DeMichele Scholarship Fund:	Enter desired amount (number only, no "$")	$

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
None (exhibit registration only, no purchase)

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 9528530 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.