Register for the Symposium

To register for the symposium, please fill out the form below.

Registration Fee

The registration fee for the symposium is $125 per day or $200 for both days; this includes all sessions of the symposium for the day, and a lunch for each day. Cash/check, credit card, and University of Illinois account number are accepted methods of payment. There are a limited number of student registration fee waivers available. Space is limited, so register early!

Ways to Register

Complete the online form below. You should receive a confirmation message acknowledging receipt of your registration. OR
Fax your completed registration form to 217-333-8944. OR
Mail your completed registration form and payment to:
Aida Sefic Williams
Electronics & Sustainability: Design for Energy & the Environment
Illinois Sustainable Technology Center
University of Illinois
One Hazelwood Drive
Champaign, Illinois 61820-7465

Attendee Information

First Name

Last Name

Title

Company / Org.

Address

City

State / Province

Zip Code / Postal Code

Country

Telephone

E-mail

Are you a speaker at this conference?
Yes No

Do you want your e-mail address included in the attendee list?
Yes No

Days Attending / Tour

Which days will you attend?
Both Days ($200)
Wednesday, March 23rd ($125)
Thursday, March 24th ($125)

Are you interested in attending 30-minute tour of the National Center for Supercomputing Applications facility the 22nd of March? The tours will be between 3PM and 5PM. Once we receive your registration, we will e-mail you the time of your tour.
Yes No

Student Waiver

Do you want to apply for a student registration fee waiver?
Yes No

PDH Credits

Professional Engineers can earn up to 6 PDHs by participating in the symposium sessions. Credit of 1.5 PDHs will be awarded for each of the morning and afternoon sessions attended each day.

Do you wish to receive PDH credits?
Yes No

Payment Method

	Credit Card Credit card information will be entered after confirming your information.
	Cash or Check Make checks payable to Illinois Sustainable Technology Center
	University of Illinois Account Number Enter the U of I account number to charge above.

Questions / Special Needs

If you have any questions or special needs please tell us in the text box below.