Registration form
ACHI’2008, ICDS'2008 and ICQNM’2008 

February 10-15, 2008, Martinique, French Caribbean 
(note: One registration allows one participant to assist to all conferences)
 
Please fill in the form, sign it, and send it via one of the following:
Fax: 1-302-475-6432
e-mail: oana@vicov.com 
mail: VICOV Event Expert LLC, P. O. Box 8027, Wilmington, DE 19803, 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 (ACHI/ICDS/ICQNM): _________ 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 for the conference where the paper is registered.
 	IEEE Member	Non-IEEE Member	 	
Academic Rate
IEEE Membership # ………………	550 €	600 €	______ €	
Industry rate
IEEE Membership #........................	750 €	800 €	______ €	
Late payment (after November 8/07, 100 €; after
Dec 8/07, 150 €)	                                                                               
   ______ €	
Additional Proceedings: 95 €/CD
ACHI:… ICDS:…. ICQNM:…..	                                                                                 
 ______ €	
Extra pages: 100 € / page	
______ €	
Additional Gala Dinner: 75 €							     
 ______ €	
    TOTAL A: __________ €
B. Tutorials 
Note: see final program
 
Tutorials are free of charge

C. Hotel special price 

Arrival date   __________Departure date _____________ Number of nights: ________
 
Sainte-Luce Hotel (All taxes are included in conference special prices)
Conference organizers obtained special discounts despite the hot season.
- Room for 1 person with 1 breakfast, no lunch and no dinner      130 € x ___nights = ____
- Room for 2 persons with 2 breakfasts, no lunch and no dinner   160 € x ___nights = ____
- Room for 1 person with 1 breakfast and 1 dinner)                       150 € x ___nights = ____
 (Drinks are included)
- Room for 2 persons with 2 breakfasts and 2 dinners)               200 € x ___nights = ____ 
 (Drinks are included)

Number of persons per room (One/Two)
Number beds (One/Two):
Bed for baby (Yes/No):    (___ years old)
 
Shuttle Transfer Airport/Conference Hotel/Airport     60 € x ____person(s) = _______  

TOTAL C: __________ €

D. Social event 
(see Preliminary program)

Visit of Martinique Island (full day with Lunch)    100 € x __  persons = _______ 

                                                       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: ……………………………

Important: Please note that NO refund will be issued after November 8th, 2007