Conference Registration Form for Participants Advance Registration Form for 9th IEEE International Symposium on Object and component-oriented Real-time distributed Computing (ISORC 2006) http://www.rtselab.org/~isorc2006 April 24-26, 2006 and IEEE International Workshop on Software technologies for future Embedded & Ubiquitous Systems (SEUS 2006) http://resl.icu.ac.kr/~seus2006 and IEEE International Workshop on Collaborative Computing, Integration, and Assurance (WCCIA 2006) April 27-28, 2006 http://asusrl.eas.asu.edu/srlab/wccia.html Gyeongju, Korea Please send the completed registration form by Fax to the ISORC 2006 secretariat at the address given below. Once you send your registraton form, you will receive a confirmation via e-mail. If you don't receive a confirmation within 3 days, please let the secretariat know. All documents and queries should be forwarded to the following address: Address : ISORC/SEUS/WCCIA 2006 Secretariat Software Research Center Konkuk University 1, Hwayang-dong, Gwangjin-gu, Seoul 143-701 Korea Telephone : +82-2-450-3859 Fax : +82-2-455-2589 E-mail : isorc2006@rtselab.org Last name: ___________________________________________________ First name: ___________________________________________________ Middle name: ___________________________________________________ Title (circle one): Prof Dr Mr Mrs Ms Nationality: ___________________________________________________ Affiliation: ___________________________________________________ Address : ___________________________________________________ ___________________________________________________ City: ________________________________ Country: ___________________________ Postal code: ___________________________ Phone: +_______________________________ Fax: +_______________________________ E-mail: ________________________________ Registration procedures are the same for participants of the ISORC 2006 Symposium and the SEUS 2006/WCCIA 2006 workshops. Amount payable (All fees are in Euros): There are 3 options in your registration as follows. Please mark which option you take. [ ] Both ISORC symposium and SEUS/WCCIA workshops (April 24-28, 2006) In this case, the combined registration fee is smaller than the sum of the two registration fees. _________________________________________________________________________ | | | | | Please check | Until March 23, 2006 | After March 23, 2006 | |___________________________|______________________|______________________| | | | | | | | IEEE member * | US$ 650.00 | US$ 780.00 | |____|______________________|______________________|______________________| | | | | | | | non-IEEE member | US$ 815.00 | US$ 980.00 | |____|______________________|______________________|______________________| | | | | | | | Full-time student ** | US$ 340.00 | US$ 410.00 | |____|______________________|______________________|______________________| | | | | | | | Extra proceeding | US$ 150.00 (both) | US$ 150.00 (both) | |____|______________________|______________________|______________________| [ ] ISORC symposium (April 24-26, 2006) _________________________________________________________________________ | | | | | Please check | Until March 23, 2006 | After March 23, 2006 | |___________________________|______________________|______________________| | | | | | | | IEEE member * | US$ 480.00 | US$ 580.00 | |____|______________________|______________________|______________________| | | | | | | | non-IEEE member | US$ 600.00 | US$ 720.00 | |____|______________________|______________________|______________________| | | | | | | | Full-time student ** | US$ 250.00 | US$ 300.00 | |____|______________________|______________________|______________________| | | | | | | | Extra proceeding | US$ 100.00 | US$ 100.00 | |____|______________________|______________________|______________________| [ ] SEUS and WCCIA workshops (April 27-28, 2006) _________________________________________________________________________ | | | | | Please check | Until March 23, 2006 | After March 23, 2006 | |___________________________|______________________|______________________| | | | | | | | IEEE member * | US$ 320.00 | US$ 385.00 | |____|______________________|______________________|______________________| | | | | | | | non-IEEE member | US$ 400.00 | US$ 480.00 | |____|______________________|______________________|______________________| | | | | | | | Full-time student ** | US$ 160.00 | US$ 195.00 | |____|______________________|______________________|______________________| | | | | | | | Extra proceeding | US$ 50.00 | US$ 50.00 | |____|______________________|______________________|______________________| TOTAL: US$ ___________________________________ * If you are an IEEE member, please write your IEEE number. Member ID Number: _______________________________ ** We need to receive proof of your full-time student status. Please fax a copy of your student identification card to +82-2-455-2589. If you do not have a student ID, please request an official certification of your student from your institution of study and fax this to us instead of providing a copy of the ID card. The student registration covers neither banquet nor excursion. Payment -- ISORC-2006 payment can be made in two ways: 1) By credit card 2) By bank transfer [ ] By credit card: [ ] VISA [ ] MasterCard Card number : __________________________ Exp. Date : __________________________ Card holder : __________________________ Card Signature: __________________________ Date: _______________ [ ] By bank transfer : The registrant is requested to pay all handling fees charged by his/her bank(s). Bank transfer information Bank name : Chohung Bank Name of account : ISORC2006 Account : 671-05-020295 Address : Chohung Bank - Konkuk University Branch 1, Hwayang-dong, Gwangjin-gu Seoul 143-701, Korea SWIFT Code : CHOHKRSE IBAN Code : N/A (not applicable)