Entry DSN2004

Please Note:

Payments should be received by June 13, 2004.

Cancellations must be in writing or fax and received before June 13, 2004.

Cancellations are subject a € 50 processing fee. Substitutions are allowed at any time.

Fees will not be refunded after the cancellation deadline.

Your personal data will be treated according to the current Italy privacy law n. 675/96 .
* required fields

Personal Information
* First Name:
Middle Initial:
* Last Name:
* Organization:
* Short Affiliation:	for the badge
* Address 1:
Address 2:
Address 3:
City:
Postal code:
State/Province:
* Country:
Phone number:	incl. country + city code
Fax Number:	incl. country + city code
Do you want to be include in the attendance list:	Y/N	Do you want in the mailing list:	Y/N
* E-mail:
Special needs (dietary or other):

Registration fees (all fees indicated below are in EUROS)
	Registration on or before May 23, 2004				Registration after June 13, 2004
	IEEE Member	Non Member	Emeritus	Student	IEEE Member	Non Member	Emeritus	Student
DSN2004 Conference	€ 550	€ 700	€ 300	€ 300	€ 660	€ 825	€ 360	€ 360
Single day Workshop only	€ 240	€ 300	------	------	€ 290	€ 360	------	------
One Tutorial	€ 110	€ 140	------	------	€ 130	€ 165	------	------
Two Tutorial	€ 200	€ 250	------	------	€ 240	€ 300	------	------

Conference Registration (Members, Non Members, Emeritus) includes attendance to all DCCS and PDS session and Workshops (Tuesday-Thursday), Monday Welcome Reception, Breaks, Luncheons, Cocktail, Conference Cultural Event, Proceeding, CD and the Supplemental Volume. Student Registration includes attendance to all DCCS an PDS session and Workshops (Tuesday-Thursday), Monday Welcome Reception, Breaks, Proceeding, CD and the Supplemental Volume. Tick one of the checkboxes below to register for the conference.
IEEE Member	Non Member	Emeritus	Student

For Member only IEEE Membership #:

For students only
* Name of University:
Student ID number:	to be shown at Registration Desk

For planning purposes it is mandatory to indicate how many persons in your party (including you) will participate to the Welcome Reception (Monday, June 28, starting at 18.30 at Palaazzo dei Congressi, free of charge for accompanying persons).(0 if noone partecipates).

I am registered as student and want to buy at € 80 my ticket for the Conference Cultural Event (June 30).

Additional tickets for the Conference Cultural Event (June 30) are available at € 80 (children under 12 are free). How many.

For planning purpose, indicate how many persons in your party (including you) will partecipate to the Conference Cultural Event on June 30 (0 if noone partecipates)
(additional tickets will not be available on site).

Tutorial Registration includes the chosen tutorial(s), Monday Welcome Reception, Monday Breaks and Luncheon and handouts To register for tutorial(s), click on the arrow to select the tutorial(s) you wish to attend.
Tutorial June 28 A.M.	Tutorial June 28 P.M.

Single Day Workshop Only Registration inludes the single day workshops of your choice, Monday Welcome Reception, Breaks, and Luncheon on the day of the workshop, and the Supplemental Volume To register for workshop(s), click on the arrow to select the workshop(s) you wish to attend.
One-day workshop, June 29

One-day workshop, June 30

One-day workshop, July 1

Payment Methods
Confirm your registration by ticking on one of the payment methods. All payments must be made in EURO.	Credit Card on-line (secure transaction)	Bank Transfer	Credit Card via fax

last updated 03.02.2004

ON-LINE Registration Form