IEEE CES Dallas Chapter Subscription Form

IEEE Consumer Electronics Society, Dallas Chapter

www.DallasCES.org

All fields marked with a * are required:

Name*

Email*

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Positon

Telephone Number

Are you an active IEEE Member?* Yes
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If yes, what is your IEEE Member Number?

Are you an active IEEE CES Member?* Yes
No

What topics are you most interested in?

Are you interested in purchasing the annually released CD with presentations over the past year? Yes
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Are you interested in receiving notification when new jobs are posted on our website? Yes
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Are you interested in making a presentation to the IEEE CES Dallas chapter? Yes
No

If yes, enter a brief description of the proposed presentation.

Name*
Email*
Company*
Positon
Telephone Number
Are you an active IEEE Member?*	Yes No
If yes, what is your IEEE Member Number?
Are you an active IEEE CES Member?*	Yes No
What topics are you most interested in?
Are you interested in purchasing the annually released CD with presentations over the past year?	Yes No
Are you interested in receiving notification when new jobs are posted on our website?	Yes No
Are you interested in making a presentation to the IEEE CES Dallas chapter?	Yes No
If yes, enter a brief description of the proposed presentation.