Softcom 2005 registration form 13th International Conference on Software, Telecommunications and Computer Networks co-sponsored by the ieee communications Society (comsoc) September 15-17, 2005 ● Split (Croatia) personal information

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SoftCOM 2005 REGISTRATION FORM

13^th International Conference on Software, Telecommunications and Computer Networks

co-sponsored by the IEEE Communications Society (COMSOC)
September 15-17, 2005 ● Split (Croatia)
PERSONAL INFORMATION - Please fill out and fax one form per attendee. Please print clearly.

Each attendee must register separately.
First and Last Name                                                                Middle Name        Sex ⁪F ⁪M

Name on Badge (optional)

Affiliation

Mailing Address

City / State / Zip                                                 /                                      /

Country

Phone                                                                       Fax

E-mail
Name on passport
Passport No. Country of issuance

IEEE Membership Status                ⁪ Member            ⁪ Non-Member             ⁪ Student Member

Member Number

Paper numbers you are presenting                        /                    /                     /                     /

1. REGISTRATION

The presenter of each accepted paper must register at the Member / Non-Member Rate by August 20, 2005. This registration would cover the presenter for up to 3 presentations.

All other participants may register by September 17.

Conference fee	until August 15	a Conference fee includes: Welcome Receptions, Conference Luncheon, CD-ROM Proceedings, Awards Music Evening, Sailing to Split, all Technical Sessions, Workshops and Business Sessions, refreshments during coffee breaks fter August 15
non-IEEE/CCIS members	350 €	420 €
IEEE/CCIS members	300 €	350 €
IEEE student members *	160 €	190 €

* Only if presenter is IEEE student member and all other authors are students.

Total Registration: _________€

2. TUTORIALS

⁪ T1	Pascal Lorenz, Universite de Haute Alsace, France QoS in the Next Generation Networks and wireless networks	60 €
⁪ T2	Mario Baldi, Politecnico di Torino, Italy MPLS - Timeliness, benefits, and deployment from the origins, to ATM, to Optical Networks	60 €
⁪ T3	Gottfried Luderer, Arizona State University, USA Groupware – computers supporting human communication and collaboration	60 €
⁪ T4	Algirdas Paktas, London Metropolitan University, UK Tools for Teaching Network Planning	60 €
50 % discount for second and additional tutorials

Total Tutorials: ____________€

3. EXTRA ITEMS

	Extra Items	Number	Fees	Total
E1	Proceedings – Paper		150 €
E2	Proceedings – CD-ROM		30 €
E3	Conference Luncheon		40 €

Total Extra Items: _________€

Total (1+2+3): _________€

4. SOCIAL PROGRAM

	Number of persons	Price per person	Total
Evening in Split (September 16) including: - Guided city tour – visit to magnificent Diocletian Palace, one of the UNESCO's World Heritage sites		20 €
- Welcome reception by the Mayor - Buffet and music evening - Sailing from Frapa Marina to Split harbour	included in the Conference fee
Extra ticket: Sailing from Frapa Marina to Split harbour (for non-registered participants)		25 €
Sailing tour to Krka river National Park(September 18) Payment must be arranged with Frapa Marina (~50 €). Please do not include it in the registration fee.

Total Social program : ________€

Grand Total (Total(1+2+3) + Total Social Program(4)): ________€

P
For Croatian citizens

FESB Split
Splitska banka d.d. Split, R. Boškovića 16

žiro račun: 2330003-1100067777
s naznakom: za SoftCOM 2005

AYMENT

Please include your payment with the registration form.

International bank transfer

FESB Split

Splitska banka d.d. Split, R. Boškovića 16, Croatia
Account No: 20004766003

for SoftCOM 2005

SWIFT BACXHR22
All prices are in Euros. Cancellations on or prior to 15 August will incur a 100 Euro fee. After that date no refunds will be issued.

REGISTRATION OPTIONS

Signed authorization and payment are required to confirm your attendance.

BY TELEPHONE: Call us now on +385 21 305 908 to confirm your participation. Please send us the completed form accompanied by bank draft.

BY FAX: Fill out and send registration form to +385 21 463 877. Payment should be confirmed.

BY E-MAIL: Fill out and send registration form to softcom@fesb.hr. Payment should be confirmed.