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2008 IEEE Southwest Symposium onImage Analysis and Interpretation |
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March 24-26, Historic La Fonda Hotel,
Sponsored by:
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Technical Co-sponsored by:
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Visa Request
If you need a letter confirming your participation in SSIAI 2008 to
support your request for a
Your Full Name:
________________________________________________________
E-mail address:
_________________________________________________________
Passport number (if available):
______________________________________________
Name and full address (including country) of the
company or university with which you are affiliated:
Institution Name:
_____________________________________________________
Street:
_____________________________________________________________
City: ______________________________________________________________
State/Province:
______________________________________________________
Postal Code:
_______________________ Country:
________________________
Conference Title: IEEE Southwest Symposium
on Image Analysis and Interpretation
Conference Dates:
Conference Location: Historic La Fonda Hotel,
Are you an IEEE
member? YES NO
If yes, your
IEEE Membership Number: ____________________________________
Are you a speaker or
presenter? YES NO
Name of session at which you are
speaking or presenting: ________________________
To what post office address should the confirmation
letter be mailed?
Street:
_____________________________________________________________
City:
_______________________________________________________________
State/Province:
_______________________________________________________
Postal Code:
_______________________ Country:
_________________________
To what FAX number should the confirmation letter
be sent? ________________________
Please forward this information by postal mail or FAX to:
Marios S. Pattichis
Room 229-A
Department of Electrical &
MSC01 1100
1
Phone: 1-505-277-0486
Fax: 1-505-277-1439
Please indicate "SSIAI Visa Request" on the fax cover sheet.