Participant Discounted Registration

Participant Discounted Registration
Item# Discounted_Registration
**IMPORTANT** All fields are Required. Before you submit, please make sure to complete ALL fields in this form: Participation Type:  Participant First Name (in English letters): Middle Initial/Name (in English letters): Participant Last Name (in English letters): Name and Title for Badge (Dr.,Mr.,Ms.,Mrs.): If you are a presenter or author of an invited paper - please indicate the name of the person organizing your session otherwise type N/A: Registration Rule: At least one unique registration per submission ID is required. For multiple accepted submissions, a different author must register for each submission:  IHSI Submission ID Number - if you havent submitted yet then type N/A : Company Name or Affiliation: Primary Employment Sector:  Address: City: State/Province (e.g. Florida or N/A): Zip/Postal Code (e.g. 32816 or N/A): Country:  Nationality - if other than country of residence:  Mobile phone number with country code - no spaces: Participant E-mail: Would you like to get extra reception and banquet ticket:  Multi-Conference Registration (IHSI and AHFE): Would you like to register for AHFE:  Emergency Contact Name (in English letters): Emergency Contact Telephone: Person Submitting Payment (if other than participant): Email of Person Submitting Payment (if other than participant):

Registration Description

* All presenters and authors of invited papers, regularly submitted papers and posters, invited session organizers, Tutorial instructors, Program Chairs, Program Board members, and members of cooperating or sponsoring organizations will receive this discounted registration fee. All others (unless a student) please consider "Regular fee" amount.

All personal and financial information is submitted via a secure link (SSL).

The Conference registration fee includes:

• Participation in all open technical sessions (i.e. Parallel Paper Presentations)

• Entrance to the exhibition/poster session area

• Access to full conference proceedings

• Refreshment breaks

• One ticket for the Reception Dinner