Registration form
ICDT 2010

June 13-19, 2010, Athens/Glyfada, Greece 
(One registration allows one participant to assist to all NexCom 2010 events)
 
Please fill in the form, sign it by hand, and send it via one of the following:
Fax: 1-302-397-2096
E-mail: andrea@vicov.com 

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

Paper number (e.g., #10254) (for authors only: only one paper per form) ______________

Institution: _______________________________________________________________

Street Address: ___________________________________________________________

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

Phone: __________________ Fax: ___________________ Email: __________________

A. Conference Registration Fees
The full registration fees include: access to all the conferences, the welcome cocktail, the coffee breaks, the gala dinner, the CD-proceedings for the conference where the paper is registered (including CSDL and IEEE Xplore Publication, and indexing), and the participation to all the scientific events under the NexComm 2010 umbrella. 
 	IEEE Member
IARIA Fellows	Non-IEEE Member	 	
Academic Rate
IEEE Membership # ………………	565 €	615 €	______ €	
Industry rate
IEEE Membership #........................	765 €	815 €	______ €	
Additional late fee *
- after March 28/2010, 100 €
- after April 28/2010, 150 €
* late payment acceptable for attendance only, not for paper registration	                                                                               
   ______ €	
Additional Proceedings: 100 €/CD	                                                                                 
   ______ €	
Extra pages: 105 € / page
(over 6 pages) 	
______ €	
Additional Gala Dinner: 95 €							     
 ______ €	

    TOTAL A: __________ €
B. Tutorials 
Note: see final program
 
Tutorials are free of charge for all the attendees

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

Arrival date   ____________		Arrival time _____________
Departure date _____________ 	Departure time _____________
Number of nights: ________
 
Best Western Hotel Fenix (All taxes are included in conference prices)
[conference hotel]
- Room for 1 person with breakfast					110  € x ___nights  = _______
- Room for 2 persons with breakfast				120  € x ___nights  = _______

Total C: __________ €

D. Social event [June 18, 2010]
(See Details in the Preliminary Program)

Day Cruise in Saronic Gulf (full day, lunch included)     150 € x __ person(s) = _______ €

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

Payment of Fees (check one of the methods): 

__ By Credit Card   (preferred method)            (____ Mastercard or ____Visa)          
 
Card number:    _________________________________________________________
CVV:  _________________ (this is the 3 or 4 digit number on the back of the card)
Expiration date:  ___________                                                                   
Holder's Name: ________________________ Holder’s Signature: _________________

Credit Card billing address:
Street address:________________________________________________________
City: _______________________________ State: ___________________________
Zipcode/Postcode _____________________ Country: ________________________
                                                                   
__ By Wire Transfer (please add 40 € for processing the wire transfer)
     Contact andrea@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 28th, 2010 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.