ESORICS 2004 REGISTRATION FORM

To be returned to CWT / TRAVEL EXPO by fax to + 33 1 48 63 32 13 or mail to:

esorics-raid2004@cwtfrance.com

Participant (Please use one form per participant) :

Last (Family) Name: ___________________ First (Given) Name: __________________

Title (Mrs, Mr, Prof, Dr): _______________ Affiliation : _________________________

Address: ________________________________________________________________

City: ________________________________ Zip code:___________________________

Country: _____________________________ E-mail: ____________________________

Phone: ______________________________  Fax:_______________________________

Registration Fee for ESORICS 2004:

Registrations fees include admission to the technical sessions, proceedings, coffee breaks, lunches, evening reception, banquet, morning and evening shuttle between the venue and the hotels listed in the hotel registration form. 

All prices are given in Euro (€)

   Participant

 On or before July 20

 after July 20 

   Regular

400 €

550 €

   Student

300 €

400 €

 

Number of additional tickets (50 €) for the ESORICS Banquet - September 14 : _____

 

Please check if you need vegetarian meals 

Method of Payment:

Payment must accompany registration form.

- 1 - I duly authorize CWT/TRAVEL EXPO to charge my:

VISA – MASTERCARD – AMERICAN EXPRESS (+2% charge):

____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ Exp __ __ / __ __

for the amount of ___________ €.                                                                                   Signature of the owner:

- 2 - Or by check  to the order of C.S.V.T.

Please state your name and the symposium reference (ESORICS 2004) on all transactions.

REGULATIONS FOR ESORICS 2004

 

Cancellations and Substitutions

 

Cancellations and substitutions are allowed. However, full registration fees will be charged unless a cancellation notice is sent in writing and postmarked on or before August 1, 2004 to

 

CWT – TRAVEL EXPO

Stéphanie BEAUSSART / ESORICS

BP 60004

95970 ROISSY CDG Cedex - France

 

A handling fee of 60 € will be applied to all canceled registrations. Please allow 10 weeks for processing.

Substitutions can be made for all written requests received by the ESORICS 2004 Secretariat by August 31, 2004.
 

Disclaimer

Neither the ESORICS 2004 chairs nor the ESORICS 2004 organizing committee can take any responsibility for any damage, loss or inconvenience participants might incur in connection with ESORICS 2004. They also cannot be held responsible for the correctness or appropriateness of the contents of talks and papers included in this conference. In particular, changes to the published program or cancellations of parts thereof do not entitle to a refund of the registration fee or parts thereof.

Names and addresses of participants will be electronically processed and will be included in a list of participants that will be distributed during the conference except for participants who explicitly mentioned on the registration form that they do not want their name and address to be part of this list.

By registering for the conference, participants express their agreements with these regulations.

Registration will become effective only after receipt of your payment.

Students

Some fellowships to cover a part of registration fees are available. Students wishing to apply for fellowship should directly contact the Sponsorship Chair,  Prof. M. Dacier, by e-mail (dacier@eurecom.fr).