2nd IEEE International Verification and Security Workshop
IEEE IVSW 2017
Hotel Makedonia Palace
Thessaloniki, Greece
July 3-5, 2017
Fill, Sign and Return this form by
Fax to: +33 4 76 57 49 81
or by mail to: [email protected]
46 av Félix Viallet 38031
GRENOBLE cedex 1 - France
Anne-Laure FOURNERET
tel.: +33 4 76 57 47 54
Registration Form
Advance Registration Deadline is June 10, 2017
PERSONAL INFORMATION
Last Name:
First Name:
Affiliation:
Address:
City:
Postal Code:
Country:
Phone:
Fax:
E-mail:
Special Meal:
FEES
IVSW 2017 Fees
Regular 3-day Workshop
SUB-TOTAL
ADVANCE
Until June 10
LATE/ON-SITE
After June 10
IEEE/CS Member
 395 €
 494 €
Non Member
 494 €
 618 €
Student Member
 217 €
 272 €
Student Non-Member
 395 €
 494 €
Life member
 217 €
 272 €
Registration Fees1, 2, 3
Additional tickets for welcome reception
40 € each X …… ticket (s)
Additional tickets for social event and dinner
Non-residents at hotel Makedonia Palace,
Additional tickets for lunches4
Additional Proceedings (USB stick)
90 € each X …… ticket (s)
23 € each lunch X …… ticket (s)
Additional pages of the camera ready paper
75 € each X …… page (s)
25 € each X …… copy (s)
TOTAL
IEEE Membership Number
1Workshop registration fee (including student registration) comprises welcome reception, social event and dinner and IEEE symposium proceedings (USB stick).
2Registration at IVSW allows also attending the sessions of IMSTW and IOLTS
3The amounts shown in the Table exclude VAT:
- A 20% VAT will be applied to registrations from France.
- For registrations from the EU, please provide the intra-Community VAT number:
4
Breakfasts, lunches, and dinners are at the charge of attendees, except the dinner
of the social event on July 5. Residents at the hotel Makedonia Palace are invited to make half-board room reservations, which include breakfasts and lunches.
PAYMENT (EUROS ONLY)
Credit card:
only accepted:
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Card number
 VISA
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Card Verification Code
 MasterCard
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Expiration date (MM/YY)
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Card holder´s name
I authorize ADR to debit my credit card for the total amount of: ______________ €
Date:________________
Signature: __________________
CANCELLATION AND REIMBURSEMENT POLICY
Any cancellation made in writing to IVSW ’17 Organization and received before June 17, 2017 will entitle to the reimbursement of the
amount paid after deduction of 50 € for administrative fee. No reimbursement will be granted after this date. Substitutions are free.
For any information please contact the General Chair Magdy Abadir ([email protected])
€