Registration

Registration closes midnight on Sunday March 28. Early registration ends March 20.

Please fill out the following information to register for the conference if you are paying by check. If you plan to pay with a credit card, please use our credit card registration form. Make all checks payable to "SWE Region F" and mail to:
Sherisse Hughes
640 Hopmeadow Street
Simsbury, CT 06070

*All fields denoted with a () are required.**
Contact Information
Title:
First name:*
Last name:*
Company/University:
Email:*
Phone number:*	(this will be used only if we can't reach you via email)
How many years have you been an engineer? (for mentor/protogee pairing)
Engineering discipline:
Please choose which you would like to attend
First Session:*
First Session, second choice:*
Second Session:*
Second Session, second choice:*
Third Session:*
Third Session, second choice:*
Will you be staying for the evening keynote?*
Will you be staying for breakfast on Sunday?*
Are you planning to attend the business meeting on Sunday?*
Registration information
Registration fee*	All non-member student registration fees includes a one-year membership. Note, Raytheon employees should sign up as SWE professional members ($100 registration fee)
How did you hear about the conference?*	If other, please explain:
Region F Students
Are you interested in: (select all that apply)	carpooling to conference with professional members staying with WPI students overnight hosting student conference attendees (for WPI students only) If you are interested, please apply by March 20, 2004. Please note that space is offered on a first-come first-serve basis. Contact Anita Ramamurthy, anita.ramamurthy@hs.utc.com or 860-654-2449, for details.
Are you graduating before Dec 2004?

Questions? Contact Sherisse Hughes at 860-843-2093 or via email at srhughes@eba-d.com