ICAS'05 and ICNS'05 Registration Form 
should be sent to:

Fax: +1(408) 564-0091 (preferred method)
OR
VICOV/Tahiti Conferences
3964 Rivermark Plaza - #128 - Santa Clara, CA 95054 - USA
OR
Email: oana@vicov.com & petre@iaria.org
Title (Prof, Dr, student): _____ First Name: _________ Last Name: _______________ 
Paper number generated by EDAS (for authors only, one paper per from): ____________
Institution: ________________________________________________________________
Street Address: ____________________________________________________________
City: _________  State: ____________  Zip: ___________  Country: __________________
Phone: ______________ Fax: _______________ Email : ___________________________
The full registration fees include: attendance to the conference, the reception, the coffee breaks, the gala dinner and the proceedings. 

 	Non Member	IEEE-SEE Member	 	
Academic Rate Membership #	500 €	450 €	
______ €	
Industry rate Membership #	700 €	650 €	
______ €	
Additional Conference Proceeding: 100 €	                                                                                                         
______ €	
Additional Gala Dinner: 60 €	
______ €	
Additional extra pages (100 € per page)  	
______ €	
Tutorials 
T1: Wireless Integrated Architectures for 4G Communications Systems (Half Day)            150 €     __________ € 
T2: Future of Telecommunication Systems, Technological Trends
                and  Markets-Driving Potential, 
Business Opportunities and Services (Half Day)                                                        150 €     __________ € 
T3: Nanorobotics (Half Day)                                                                                                          150 €     __________ € 
T4 Telecommunications and Data Communications Convergence:
 Technologies, Products, Services (Half Day)                                                             150 €     __________ € 
T5: Service Management in Wireless Networks:
 Technologies, Products, Services (Half Day)                                                             150 €     __________ € 
Hotel special price (LIMITED to the first 100 registrations)
Arrival date   ____________  Departure date ______________   Number of nights : ________
 
Sofitel (one room for 1 or 2 persons without breakfast, no lunch and no dinner)    140 € x ____nights  = ____
Sofitel (one room with breakfast, lunch and dinner for 1 person)                            230 € x ____nights = _____
Sofitel (one room with breakfast, lunch and dinner for 2 persons)                          320 € x ____nights = _____

Number of persons per room (One/Two): 
Number beds (One/Two):
Bed for baby (Yes/No):
Social events 
Moorea Daytour (full day with Lunch)                                          150 € x __  persons = _____    Day chosen: ________

Total Euros:      _________
Payment of Fees: 
__ By Foreign Check to “VICOV Event Expert LLC." (use address at the top of this form)
 
__ By Credit Card   (__ MasterCard  __ Visa)   

            Card number:    ______________________________________________________________

             Expiration date:  _____/_____                Holder's Name : __________________________________________

                                      Date / Signature: …………… / ………………….
Important: 
Please note that NO refund will be issued after July 1st, 2005