ICheaP-7 Registration Form

Full Fee Registration includes:
- Free attendance to ICheaP7 & PRES'05 Conference,
- Conferences facilities,
- ICheaP7 & PRES'05 Proceedings
- Refreshments, 3 Lunches, 1 Gala Dinner,
- 20% Taxes
- A copy of post-conference volume "AIDIC Conference Series: ICheaP7 Selected Papers" (distributed by January 2006)

Note! At least one Author per paper has to register before March 30, 2005 to prevent the contribution being withdrawn from the Proceedings and the Final Program.

Please use this form only if your attendance is for ICheaP7
for PRES'05 registration please click here

Late and on-site registration is possible only for Non-Speaker participants

Date
Family name
First name
Academic Title
Organization
Street or POBox
Town incl.Zip
Country
telephone
fax
e-mail

Fees ( 20% taxes included) Price Number Total
Registration payment* before March 30, 2005 660 EUR
Registration payment* after March 30, 2005 700 EUR
Student & Young Researcher registration 480 EUR
       
Extra Gala Dinner
(not included for students and accompanying persons)		 50 EUR
Total paid

* The submission of this form becomes a valid registration only at the receipt of the fee payment.
All payments made after March 30, 2005 should be of Euro 700.
The registration is valid for the participation of one author and the presentation of one paper.

I am settling my payments by the following way (tick as appropriate):

Cheque made payable to "AIDIC Servizi S.r.l." (please send to address ICheaP-7 Secretariat)

Bank transfer to:
AIDIC Servizi S.r.l.
(bank name and agency number) BANCA INTESA, Ag. 59,
(address) Via CELORIA 2, I-20133 Milano, Italy
(bank coordinates) CIN M ABI 3069 CAB 01749 ACCOUNT 000011154138
IBAN CODE IT72M0306901749000011154138
BIC CODE (SWIFT CODE) BCI T I T 33124
Please make sure that your bank transfer charges are not deducted from the total payment required.
Please indicate in the transfer form the name of the participant and the company.
Credit Card
Type of Credit Card
Credit Card No:
Card expiration date
Card holder

Cancellations before April 30th, 2005 will be charged by 20% costs. We regret to inform that cancellations after April 30th will not be refunded.