RAS Conference Advance Loan Request Form

Submitter Name*

Submitter Affiliation

Conference Information*
Provide: Conference Name, Location and Date

General Chair
Name and Email Address

Program Chair
Name and Email Address

Loan Amount Requested*

Brief Justifcation for Loan Amount*

Preferred Payment Method*
Transfer the loan amount to the IEEE Concentration Bank Account of the conferenceCheck in US DollarsWire transfer to the Conference Bank Account

Payment Details*
Provide Conference number and one of the following: Concentration bank account details, Local Bank mailing instructions for either a check payment or wire

Send me a copy of my responses

Email address

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