Registration form
ICSEA’2007 and ICSNC’2007
		[including workshops] 

August 26-31, 2007, Cap Esterel, French Riviera 
(note: One registration allows one participant to assist to both conferences)
 
Please fill in the form, sign it, and send it via one of the following:
Fax: 1-302-475-3187
e-mail: oana@vicov.com 
mail: VICOV Event Expert LLC, P. O. Box 7540, Wilmington, DE 19803-7540, USA
 
Title (Student/Prof/Dr): ______ First Name: _____________ Last Name: ___________________
Paper number generated by EDAS (e.g., #254) (for authors only: only one paper per form) _______
Paper conference (ICSEA/ICSNC): _________     Institution: ______________________________
Street Address: ______________________________________________________________
City: __________________ State: ____________ Zip: ___________ Country: _____________
Phone: __________________ Fax: ___________________ Email: ______________________
This information may be sent later, using the registration form.
Arrival Date:        _______________ at ______________ with Flight N°: ________________
Departure Date:     ______________ at _______________with Flight N°: _________________
A. Conference Registration Fees
The full registration fees include: attendance to the conference, the coffee breaks, the gala dinner and the CD-proceedings.
 	Non-IEEE Member	IEEE Member	 	
Academic Rate
IEEE Membership # ………………	600 €	550 €	______ €	
Industry rate
IEEE Membership # ........................	800 €	750 €	______ €	
Late payment (after June 01/2007, 100 €; after
July 30/2007, 150 €)	                                                                               
   ______ €	
Additional Proceedings: 95 €	                                                                                 
 ______ €	
Extra pages: 100 € / page	
______ €	
Additional Gala Dinner: 90 €							     
 ______ €	
    TOTAL A: __________ €
B. Tutorials 
Note: see final program
 
Tutorials are free of charge

C. Hotel special price (LIMITED TO THE FIRST 60 REGISTERED) 

Arrival date   ____________		Arrival time _____________
Departure date _____________ 	Departure time _____________
Number of nights: ________
Note: a hotel day starts at noon
 
Hotel

- Room for 1 person with breakfast                                160  € x ___nights  = ____
- Room for 2 persons with breakfasts                             170  € x ___nights  = ____
- Room for 1 person with 1 breakfast and 1 dinner       190  € x ___nights  = ____
 (Drinks are included)
- Room for 2 persons with 2 breakfasts and 2 dinners   230  € x ___nights  = ____ 
 (Drinks are included)

TOTAL C: __________ €

D. Social event [August 31st]
(see Preliminary program)

Monaco - Monte Carlo  - Oceanographic museum/aquariums    35 € x __  persons = _______ 
[Train ]

                                                       Total (A+C+D):       _________ €
Payment of Fees: 
 
__ By Credit Card   (preferred method)            (____ Mastercard or ____Visa)          
 
Card number:    _________________________________________________________
Expiration date:  _________                                                                   
Holder's Name: ________________________
                                                                   
__ By Wire Transfer (please add 40 € for processing the wire transfer)
      Contact oana@vicov.com for the wire transfer accounts information 
      
Date and Signature: ……………………………

Note: If paying by credit card, please make sure the cardholder’s handwritten signature is present.

Important: Please note that NO refund will be issued after June 1st, 2007