Registration form
ICDS 2009, ACHI 2009, ICQNM 2009, GEOWS 2009, eTELEMED 2009, eL&mL 2009, eKNOW 2009

February 1-7, 2009 - Cancun, Mexico 
(note: One registration allows one participant to assist to all the events)
 
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

Title (Student/Prof/Dr): ______ First Name: _____________ Last Name: ___________________
Paper number (e.g., #30254) (for authors only: only one paper per form) ________________
Paper conference (circle one): ICDS  ACHI  ICQNM  GEOWS  eTELEMED  eL&mL  eKNOW
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/workshop 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:
100 € | after October 27, 2008
150 € | after November 27, 2008
* late payment acceptable for attendance only, not for paper registration	                                                                               
   ______ €	
Extra pages: 100 € / page	
______ €	
Additional Gala Dinner: 85 €							     
 ______ €	
    TOTAL A: __________ €

B. Tutorials 
Note: see final program
 
Tutorials are free of charge

C. Hotel pre-booked (LIMITED AVAILABILITY) 

Arrival date   ____________		Arrival time _____________
Departure date _____________ 	Departure time _____________
Number of nights: ________
Note: a hotel day starts at noon
 
Hotel Fiesta Americana Condesa Cancun
(All taxes are included in conference special prices)

- Room only for single/double occupancy . . . . . . . . . . . . . . . . . . .  152  € x ___nights  = _______
- Room for 1 person with 1 breakfast, no lunch and no dinner . . .  178  € x ___nights  = _______
- Room for 2 persons with 2 breakfasts, no lunch and no dinner . . 204  € x ___nights  = _______
- Room for 1 person with 1 breakfast and 1 dinner . . . . . . . . . . . . .210 € x ___nights  = _______
- Room for 2 persons with 2 breakfasts and 2 dinners . . . . . . . . . . 268  € x ___nights  = _______

Shuttle Transfer “Airport/Conference Hotel/Airport”     115 € x ____person(s) = _______  
(For alternative solutions see: http://www.iaria.org/conferences2009/HotelsTravelACHI09.html)

Total C: __________ €

D. Social event [Saturday, February 7th, 2009]
(see Preliminary program)

Visit of Mayan Temples + Open Aquarium (full day with Lunch)    135 € x __  person(s) = _______ €
(Saturday, February 7th, 2009)
Total (A+C+D):       _________ €
If wire transfer:                         40 €

TOTAL:    _____________________€

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 October 27th, 2008 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.