ISMIS 2017 Registration Form
23rd International Symposium on Methodologies for Intelligent Systems
Warsaw University of Technology, Warsaw, Poland
Please digitally fill in, and email saved version to [email protected]
Only electronically completed forms will be accepted.
General Information
I need an invoice:
YES
Last Name
First Name
Title (Prof./Dr./Mr./Mrs./Ms.)
Affiliation
Telephone
Fax
Email
Invoice Data
Obligatory if you need to get the invoice.
Invoiced
Institution
Surface
Mail
Address
City
Province/State
Country
Postal Code
Telephone
Fax
Email
VAT payer number or NIP (only
for EU/Polish participants)
NO
Registration Fees
Please check the boxes that apply:
ISMIS 2017 Registration Fees in EUR (in Euros)
Early by April 9,
2017
Late after April 9,
2017
Regular Fee
500 EUR
600 EUR
Student Fee
400 EUR
500 EUR
Industrial Session Fee*
250 EUR
350 EUR
Number of additional proceedings volumes
× 60 EUR =
EUR
Number of additional pages**
× 100 EUR =
EUR
Number of additional papers (regular / industrial)
× 250/150 EUR =
Number of additional banquet ticket
× 100 EUR =
EUR
EUR
*
Note: For the Industrial Session the early registration deadline is May 24.
Note: Maximal number of additional pages is 2 for regular papers and 1 for short papers.
**
ISMIS 2017 Registration Fees in PLN (in Zloty)
Early by April 9,
2017
Late after April 9,
2017
Regular Fee
2150 PLN
2580 PLN
Student Fee
1720 PLN
2150 PLN
Industrial Session Fee*
1080 PLN
1510 PLN
Number of additional proceedings volumes
× 250 PLN =
PLN
Number of additional pages**
× 430 PLN =
PLN
Number of additional papers
× 1080/650 PLN =
PLN
Number of additional banquet ticket
× 430 PLN =
PLN
Note: For the Industrial Session the early registration deadline is May 24.
**
Note: Maximal number of additional pages is 2 for regular papers and 1 for short papers.
*
Special meal request:
Vegetarian
Paper ID numbers:
Total number of papers:
Total amount of Payment
Fill either PLN or EUR field.
Total amount of payment:
Total amount of payment:
EUR
PLN