Conference Registration Form for Presenters Advance Registration Form for IEEE International Symposium on Object-oriented Real-time distributed Computing (ISORC 2004) May 12-14, 2004 and IEEE International Workshop on Software Technologies for Future Embedded and Ubiquitous Computing Systems (WSTFEUS 2004) May 11-12, 2004 held in the course of ISORC 2004 Vienna, Austria http://www.vmars.tuwien.ac.at/isorc2004 In order to publish and present your paper at ISORC International Symposium and Workshop, you have to register your paper using this registration form. Registration should therefore be completed by all presenters, even by students who are going to present a paper. A person giving multiple presentations is allowed to present at most two papers. In the latter case this person is required to pay full registration for one paper and a reduced registration fee for the second paper. Please send the completed registration form by Fax and e-mail (remove credit card details when sending the registration data by e-mail) to the ISORC-2004 secretariat of the local General Conference Co-Chair. The registration should be received no later than March 10, 2004. You are also kindly requested to send a copy of the registration form and the bank remittance for payment by conventional postage for confirmation. All documents and queries should be forwarded to the following address: Address : ISORC 2004 Secretariat Technische Universitaet Wien Institut fuer Technische Informatik Treitlstrasse 1-3/182 A-1040 Vienna Austria Telephone : +43 1 58801 18211 Fax : +43 1 58 69 149 E-mail : isorc2004@vmars.tuwien.ac.at Last name: ________________________________ Middle name: ________________________________ First name: ________________________________ Title: Prof Dr Mr Mrs Affiliation: ________________________________ ________________________________ Address : ________________________________ ________________________________ ________________________________ City: ________________________________ Country: ___________________________ Postal code: ___________________________ Phone: +_______________________________ Fax: +_______________________________ E-mail: ________________________________ Registration procedures and fees are the same for participants of the ISORC symposium and WSTFEUS workshop participants. By registering to ISORC you are entitled to attend both events. To help us administrate the conference and provide the best possible service, we kindly ask you to indicate which of the two events you will attend: [ ] ISORC symposium (May 12-14) [ ] WSTFEUS workshop (May 11-12) Amount payable (All fees are in Euros): The following paper(s) will be presented at ISORC 2004: 1. First paper Paper ID : #____ [ ] Conference paper [ ] WSTFEUS paper Paper title: ______________________________________ Number of overpages: [ ] 0 page [ ] 1 page [ ] 2 pages [ ] IEEE member: Euro 430.00 [ ] Non-member : Euro 580.00 2. Second paper Paper ID : #____ [ ] Conference paper [ ] WSTFEUS paper Paper title: ______________________________________ Number of overpages: [ ] 0 page [ ] 1 page [ ] 2 pages [ ] IEEE member: Euro 250.00 [ ] Non-member : Euro 350.00 If you are an IEEE member, please write your IEEE number. Member ID Number: ___________________ 3. Charge for overpages ISORC symposium. Each overpage costs Euro 150. Euro 150 x ______ overpages = Euro ________. 4. Charge for overpages WSTFEUS. Each overpage costs Euro 100. Euro 100 x ______ overpages = Euro ________. 5. Total page scanning fee: ____ pages x Euro 10.00 = Euro ________ if you send the hard copy of your paper to IEEE CS. 6. TOTAL: 1 + 2 + 3 + 4 + 5 = Euro __________________ Payment -- ISORC-2004 payment can be made in two ways: 1) By credit card 2) By bank transfer [ ] By credit card: [ ] VISA [ ] Master 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 : Bank Austria Creditanstalt Name of account : Peter Puschner, IEEE ISORC 2004 Account : 51260 445 801 Address : Bank Austria Creditanstalt Wiedner Hauptstrasse 11 A-1040 Vienna, Austria IBAN Code : AT52 1200 0512 6044 5801