Conference Honoraria and Award Intake Form

Please use this form to request IEEE to process honoraria and/or awards for your conference. One form per honoraria or award is required.

Conference Year *

Conference Acronym *

Honorarium or Award *

Type of Honorarium or Award *

Title of Talk or Paper *

Total Amount of Honorarium or Award *

Please list in USD if possible. If not, indicate currency type.

Primary Recipient Name *

Primary Recipient Email *

Please provide your contact information in case we have questions about this submission:

Submitter's Name

Submitter's Email

Organizer Accuracy Verification *

I confirm that the information submitted is accurate.

*

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