Registration form
INTERNET 2011
June 19-24, 2011 - Luxembourg 
(One registration allows one participant to assist to all InfoWare 2011 events)
 
Please fill in the form, sign it by hand, and send it via one of the following:
Fax: 1-302-397-2009
E-mail: manuela@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 digital proceedings for the conference where the paper is registered (including archiving, publication, and indexing), and the participation to all the scientific events under the InfoWare 2011 umbrella. 
 	IEEE Member
IARIA Fellows	Non-IEEE Member	 	
Academic Rate
IEEE Membership # ………………	565 €	615 €	______ €	
Industry rate
IEEE Membership #........................	765 €	815 €	______ €	
Additional late fee *
- after April 18 /2011, 100 €
- after May 18/2011, 150 €
* late payment acceptable for attendance only
* authors must register before April 18	                                                                               
   ______ €	
Additional Proceedings: 100 €/each	                                                                                 
   ______ €	
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. Hotels (group rate limited to the first 60 registered)
The conference will take place at this hotel (feel free to book your own room):
NOVOTEL LUXEMBOURG KIRCHBERG
6 rue Fort Niedergrünewald, Quartier Européen Nord
Plateau de Kirchberg, L-2226 LUXEMBOURG

or you can book via the logistics services:

arrival date:     ____________ arrival time:      ________________________
departure date:____________ departure time:________________________
number of nights: ____  number of beds: (one / two)   bed for baby: (yes / no)  (___ years old)
 
- Room for 1 person with 1 breakfast                                172 € x ___nights  = _______
- Room for 2 persons with 2 breakfasts                             190 € x ___nights  = _______
 
                                                                                                          Total C: ________ €

D. Social Event - Tour [June 24, 2011]

One Day Trip Tour | Lunch included		                150 € x __  persons = _____€
(private bus, see the preliminary program for details)
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 manuela@vicov.com for the wire transfer accounts information 

In case of extraordinary situation, as deemed by IARIA, you allow the publisher to act on the authors' behalf with respect to camera ready upload step and the copyright release step.

Date and Author’s Signature: ___________________________________________

Important: Please, note that NO refund on any service mentioned above will be issued after April 18, 2011 as all the services are ordered and paid when the registration is received. No refunds are possible after the reviews are released. In case of an emergency that prevents the original presenter from attending, the registration may be transferred to another presenter.