Overlength Paper Instructions

 

Please return this form by mail to:

SECON 2004/IEEE Communications Society

3 Park Aveue, 17th Floor

New York, NY 10016

or Fax to: 1-212-705-8996

 

 

If the camera-ready copy of your paper exceeds ten pages, please submit this form with your manuscript.

Papers over 12 pages will not be accepted.  The overlength paper fee schedule is below.

                 

(Please Type or Print All Information Clearly)

 

               

Name______________________________________________________________Date_______________________

               

Organization________________________________________________Department__________________________

               

Address ___________________________________________________ Mail Stop ___________________________

               

City ______________________________ State/Province ________ Postal Code ________ Country  _____________

               

Telephone Number _________________________________                Fax Number_________________________________

 

E-mail Address: _________________________________________________________________________________

               

Paper Reference Number/Title of Paper          

 

______________________________________________________________________________________________

 

 

Session No./Session Name

 

______________________________________________________________________________________________    

 

Author(s)

 

______________________________________________________________________________________________

 

Overlength Paper Fee Schedule

 

Total Number of Pages

1-10

11

12

Fees

$0

$100

$200

 

 

Payment Method

 

             Check* or money order (stapled to this form).                Check or money order #      __________________

             Purchase Order # ______________                Charge to my:  (please circle one)   VISA        MasterCard      American Express

                 

Card Number __________________________________        Exp. Date: / Month / Year __________________

                               

Signature______________________________________      / Month / Day  / Year ____________________

 

·                     Checks must be drawn in U.S. dollars on a U.S. bank and made payable to the IEEE Communications Society.   This check should not include payment for registration or reprints, which should be paid with separate checks.

·                      Receipts will not be issued.