Welcome to Wireless Things
REGISTRATION FORM
1
Identification
First Name
:
(*)
Last Name:
(*)
Affiliation:
(*)
Address:
(*)
City:
(*)
Postcode:
(*)
Country:
(*)
Phone:
Fax:
E-mail:
(*)
2
Badge Information
(Title) Name:
(*)
Affiliation:
(*)
3
Conference Registration
Registration includes
: attendance, school material, online access, coffee-breaks and dinners on Thursday and Friday night.
On or Before Dec 31st
After Dec 31st
Full Registration:
Eur 300
Eur 350
Tice or Cost Member:
Eur 200
Eur 250
Student or Multiple Registration:
Eur 150
Eur 200
Voucher:
4
Social Activity
Registration includes
: Visit to Porto Caves and UNESCO World Heritage Center, transportation from Aveiro and return, lunch in Porto.
On or Before Dec 31st
After Dec 31st
Social Activity:
0
1
2
3
4
5
6
7
8
9
10
Eur 150
Eur 200
Voucher:
5
Receipt Information
VAT
:
If the Receipt Information is different from Personal Identification, click
to enter the Receipt details
.
6
Cancellation & Refund Policy
50€ per each cancellation until 15 of January, no refund after that.
@IT-Aveiro 2011
