Registration form
DEPEND 2009 

June 18-23, 2009, Athens/Glyfada, Greece 
(One registration allows one participant to assist to all the events)
 
Please fill in the form, sign it by hand, and send it via one of the following:
Fax: 1-302-475-6432
E-mail: oana@vicov.com

Title (Student/Prof/Dr): ____First Name: _______________ Last Name: ______________

Paper number (e.g., #254) (for authors only: only one paper per form) ________________

Institution: _______________________________________________________________

Street Address: ___________________________________________________________

City: __________________ State: ____________ Zip: ___________ Country: ________

Phone: __________________ Fax: ___________________ Email: __________________

This information may be sent later to oana@vicov.com 
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 (including IEEEXplore Publication).
 	IEEE Member	Non-IEEE Member	 	
Academic Rate
IEEE Membership # ………………	565 €	615 €	______ €	
Industry rate
IEEE Membership #........................	765 €	815 €	______ €	
Late payment *
- after March 26/2009, 100 €
- after April  26/2009, 150 €
* late payment acceptable for attendance only, not for paper registration	                                                                               
   ______ €	
Additional Proceedings: 100 €/CD	                                                                                 
   ______ €	
Extra pages: 105 € / page	
______ €	
Additional Gala Dinner: 95 €
(bus, show, drinks, meals)							     
 ______ €	
    TOTAL A: __________ €
B. Tutorials 
Note: see final program
 
Tutorials are free of charge

C. Hotel special price (LIMITED TO THE FIRST 60 REGISTERED) 
As the original hotel is undergoing renovations that may not be completed in time for the conference, a new location in Athens/Glyfada has been selected to host the conference:

Best Western Hotel Fenix
1-3 Artemisiou str.
Glyfada, Athens, Greece
Phone: +30 210 891 4000

D. Social event [June 23rd, 2009]
(See Preliminary Program)

Athens + Corinth + Acropolis +… (full day, lunch downtown)     155 € x __ person(s) = _______ €

If ‘credit card”:                                      TOTAL (A +  D):       _________ €
If “wire transfer”:			     TOTAL (A + D + 40€):  ____________€

Payment of Fees (check one of the methods): 

__ By Credit Card   (preferred method)            (____ Mastercard or ____Visa)          
 
Card number:    _________________________________________________________
Expiration date:  _________                                                                   
Holder's Name: ________________________ Holder’s Signature: _________________
                                                                   
__ By Wire Transfer (please add 40 € for processing the wire transfer)
     Contact oana@vicov.com for the wire transfer accounts information 
      
Date and Author’s Signature: ________________________________

Important: Please note that NO refund on any service mentioned above will be issued after March 26th, 2009 as all the services are ordered and paid when the registration is received. 
In case of an emergency that prevents the original presenter from attending, the registration may be transferred to another presenter.