Registration form
ICSEA 2008, ICSNC 2008, I-CENTRIC 2008, ENTISY 2008

October 26-31 2008, Sliema, Malta 
(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., #254) (for authors only: only one paper per form) ________________
Paper conference (circle one):      ICSEA      ICSNC       I-CENTRIC      ENTISY  
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 July 10/08, 
150 € | after August 10/08	                                                                               
   ______ €	
Additional Proceedings: 95 €/CD
ICSEA + ENTISY:…. ……….
ICSNC + I-CENTRIC:………..	                                                                                 
 ______ €	
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 TO THE FIRST 54 REGISTERED) 

Arrival date   ____________		Arrival time _____________
Departure date _____________ 	Departure time _____________
Number of nights: ________
Note: a hotel day starts at noon
 
Palace Hotel (All taxes are included, Deluxe-Room)

- Room for 1 person with 1 breakfast, no lunch and no dinner      155  € x ___nights  = _______
- Room for 2 persons with 2 breakfasts, no lunch and no dinner   185  € x ___nights  = _______
- Room for 1 person with 1 breakfast and 1 dinner                        187 € x ___nights  = _______
- Room for 2 persons with 2 breakfasts and 2 dinners                 249  € x ___nights  = _______

Total C: __________ €

D. Social event [october 31st, 2008]
(see Preliminary program)

Visit of Valetta + Mdina ++ (full day with lunch)                      95 € 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:    _________________________________________________________
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 July 10th, 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.