EJC

REGISTRATION

ATTENTION!
The registration process is completed only after the payment is confirmed!
We need to receive the payment for the paper to be published in the proceedings by May 10th 2009!

* required field in the whole registration form

Personal Information:

First (given) name* Middle

Last (family) name*

Name as should
appear on the badge

University / Organization*

Street address*

Postal / ZIP* Phone*

City* Fax

Country* Mobile

Email address*

Registration Fees and Special Requirements:

Registration Fees*:

Speaker/Academic/Committee Mamber/Reviewer:
Paper number: 520 EUR

Non-Academic: 700 EUR

Registration fee:
EUR

Accompanying persons (including lunches and social events):

I have accompanying person(s)
400 EUR / person Accompanying persons - total:
EUR

Total Registration Fees:
EUR

I have special requirements regarding the meals:

Vegetarian Other:

Payment Method*:

Bank transfer (SWIFT - electronic transfer of funds):

Name/Organization: University of Maribor, Faculty of Electrical Engineering and Computer Science
Address: Smetanova ulica 17, 2000 Maribor VAT number: 71674705

Bank: Bank of Slovenija, Slovenska 35, 1505 Ljubljana
Swift code: BSLJSI2X
IBAN: SI5601100-6090106039
Account no.: 01100-6090106039

convocation: "EJC 2009 conference fee"

Credit cards:

Please fill out the following form (Word, PDF) and fax it to the details below.
Please fax the form to: +386-2-220-72-72

Billing information (please fill out these fields if the billing details are different than registration data!):

Organization:

Address:

Zip code:

City:

Country:

Reservation of Accomodation:

In order for us to manage registration and hotel reservation efficiently, please let us know when you plan to arrive and depart. If you arrive by plane, please provide us with the flight numbers. We will put the information on the web so that participants can share taxis.

Arrival Date (DD.MM.2009):

Departure Date (DD.MM.2009):

by car

by train

by plane

arriving to airport - flight number

departing from airport - flight number

Type of room* Single room: 73EUR (per person/per night)
Double room for single use: 84EUR (per person/per night)
Double room: 53,50EUR (per person/per night) - the price for 2 persons is 107 EUR, sharing with

First (given) name*		Middle
Last (family) name*
Name as should appear on the badge
University / Organization*
Street address*
Postal / ZIP*		Phone*
City*		Fax
Country*		Mobile
Email address*

Registration Fees*:
	Speaker/Academic/Committee Mamber/Reviewer: Paper number:	520 EUR
	Non-Academic:	700 EUR
		Registration fee: EUR
Accompanying persons (including lunches and social events):
	I have accompanying person(s) 400 EUR / person	Accompanying persons - total: EUR
		Total Registration Fees: EUR
I have special requirements regarding the meals:
	Vegetarian Other: