EUSIPCO - 98
Registration Form
Please, return this form to EUSIPCO - 98 Secretariat
University of Athens, Dept. of Informatics, Division of Communications
& Signal Processing, Panepistimioupolis TYPA Buildings, 157 84 Athens,
Greece,
Tel.: +301 7217941, Fax: +301 7219561, e-mail: eusipco@di.uoa.gr
First Name ............................................................................... Surname ..............................................................................
Position ......................................................................................................................................................................................
Address ......................................................................................................................................................................................
Zip Code ................................................................ City ...........................................................................................................
Country .......................................................................................................................................................................................
Phone ............................................................................................. Fax .....................................................................................
e-mail ..........................................................................................................................................................................................
Accompanying Person(s) .............................................
EURASIP Member ...................Yes ..................... No
I need a special invitation for my Institution ...................... Yes ......................... No
Registration fee(s)
|
|
Before 30.5.98 |
After 30.5.98 |
|
||
| EURASIP Members |
GRD |
110.000 |
125.000 |
GRD ............. | |
| Non Members* |
GRD |
135.000 |
150.000 |
GRD ............. | |
| Students (CD-ROM only) |
GRD |
54.000 |
60.000 |
GRD ............. | |
| Accompanying Persons |
GRD |
25.000 |
GRD ............. | ||
| Dinner (not included in registration fee) |
GRD |
13.000 |
GRD ............. | ||
| Extra proceedings |
GRD |
25.000 |
GRD ............. | ||
| Extra CD ROM |
GRD |
8.000 |
GRD ............. | ||
| Tutorials** .............A ................B |
GRD |
45.000 |
GRD ............. | ||
Shipping of Proceedings
|
INSIDE EUROPE |
OUTSIDE EUROPE |
|
|
GRD 8.500 |
GRD 13.000 |
GRD .......................... |
TOTAL GRD ........................................
If EURASIP Member, Member No.: ........................................
If student, Institution name (enclose proof of status): .................................................................
Payment
Payment must be effected in Greek Drachmas (GRD). All bank fees must be covered by the remitter. Please check the desired way of payment.
..................Bank transfer to the account: C.T.I., General Bank,
Bank Account 007-03-0320420.
Please include copy of Bank transfer order.
Please charge the following credit card:
.................VISA
Cardholder's Name ............................................................................................. Expiration Date .........................................
Card Number ...................................................... Cardholder's Signature .................................................................
* Includes 2 years free subscription to EURASIP.
** More details on the web site.
Please fill out your name and address for shipping the proceedings
First Name ............................................................................... Surname ..............................................................................
Position ......................................................................................................................................................................................
Address ......................................................................................................................................................................................
Zip Code ................................................................ City ...........................................................................................................
Country .......................................................................................................................................................................................