Registration Form
ENERGY 2012
March 25-30, 2012 - St. Maarten, Netherlands Antilles 
(One registration allows one participant to assist to all InfoSys 2012 and BioSciencesWorld 2012 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 digital proceedings for all conferences (including archiving, publication, and indexing), and the participation to all the scientific events under InfoSys 2012 and BioSciencesWorld 2012. 
 	IEEE Member
IARIA Fellows	Non-IEEE Member	 	
Academic Rate
IEEE Membership # ………………	565 €	615 €	______ €	
Industry rate
IEEE Membership #........................	765 €	815 €	______ €	
Additional late fee *
- after January 18, 2012, 100 €
- after February 18, 2012, 150 €
* late payment acceptable for attendance only
* authors must register at latest on  January 18	                                                                               
   ______ €	
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 (special group rate limited to the first 60 registrants)
NOTE: The hotel negotiated room rates already include the 21% tax. Other booking services will advertise costs, and then add the taxes at the end. Keep that in mind as you plan your trip.
Conference Hotel:
Sonesta Maho Beach Resort & Casino, Maho Bay - Rhine Road 1, St. Maarten, Netherlands Antilles
arrival date:___________________________  departure date:_______________________________

- Garden/Island view (single or double)				183 € x ___nights  = _______
- Garden /Island view (single) + 1 breakfast				195 € x ___nights  = _______
- Garden /Island view (double) + 2 breakfasts			207 € x ___nights  = _______
- Garden /Island view (single) + 1 breakfast	 + 1 dinner		223 € x ___nights  = _______
- Garden /Island view (double) + 2 breakfasts + 2 dinners		263 € x ___nights  = _______

Total C: __________ €
D. Social Event - Tour [Friday, March 30, 2012]
Sint Maarten Island Tour (see Program)			115 € x __  persons = _____€
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 

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: ___________________________________________

Note: While registration fees are quoted in Euro € as a standard currency, fees will be charged in U.S. Dollars $ at the official rate on the date the payment is processed.

Important: Please, note that NO refund on any service mentioned above will be issued after January 18, 2012 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.