Artificial Intelligence for Industries (ai4i 2021) Registration Form
Advanced registration deadline is September 7.
Paper No. (author only):		Extra Papers:	Total number of papers 1 2 3 4
Paper Title: (author only):	If you have more than one paper, please select the "Extra papers" options above
Second Paper No.:
Second Paper Title:
Third Paper No.:
Third Paper Title:
Fourth Paper No.:
Fourth Paper Title:
First Name:		Last Name:
Affiliation:
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City:		State/Province:
Country:		Zip Code:
E-mail:		Phone:
FAX:		IEEE Member No.:

Conference registration fees: (Please check all that apply)
	Before 9/7/2021	After 9/7/2021
IEEE Member (Regular Paper)	$400	$500
Non-IEEE Member (Regular Paper)	$500	$600
IEEE Member (Short Paper)	$350	$450
Non-IEEE Membe (Short Paper)	$450	$600
IEEE Member (Poster Paper)	$350	$450
Non-IEEE Membe (Poster Paper)	$400	$500
IEEE Member (General Audience)	$300	$350
Non-IEEE Member (General Audience)	$350	$450
IEEE Student Member1	$250	$300
Non-IEEE Student Member1	$300	$350
AI&K12 presenters	$0 Please also click "Go to Payment" button.	$0 Please also click "Go to Payment" button.
AI&K12 general	$50	$100
Extra papers	1 x Paper fee	Subtotal($)
Extra paper discount	Number of extra papers x $-100	Subtotal($)
Extra pages2	Number of extra pages (up to 2 pages) 0 1 2 x $150	Subtotal($)
	Special Discount If you received special discount from the committee, please check here and then put the discounted fee in "Total" ignoring "Subtotal"	Total($)
1At least one author for each paper has to pay a full registration. A student cannot register at the student rate if she/he is the only author who registers. 2The page numbers for regular, short, workshop, and poster papers are limited to 4, 2, 4, and 1 pages, respectively, including all figures, tables, and references. Regular and short papers allow up to 2 extra pages with $150 per extra page.
Please verify the total amount and click "Go to Payment":
Email any question regarding registration to Kyle Li at haosongl@uci.edu