Form cover

Page 1 of 2

IEEE Smart Cities GRID TALK Series

Registration Form

Please complete this form as official registration for the GRID TALK Series.

First Name

*

Last Name

*

Institution

*

E-mail address

*

Position

*

Position

A

Faculty member

B

Student

C

Staff

D

Guest

Program or Department

*

Mode of attendance

*

Mode of attendance

A

Virtual

B

In-person

Thanks,

IEEE Smart Cities