Conference Registration Form for Participants
              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 

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. 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):

 _____________________________________________________________________________
|                           |                          |                      | 
| Please check              |  Until  April. 14, 2004  | After April. 14, 2004|
|___________________________|__________________________|______________________|
|   |                       |                          |                      |
|   |   IEEE member *       |        Euro 430          |      Euro 530        |
|___|_______________________|__________________________|______________________|
|   |                       |                          |                      |
|   |   non-IEEE member     |        Euro 580          |      Euro 700        |
|___|_______________________|__________________________|______________________|
|   |                       |                          |                      |
|   |  Full-time student ** |        Euro 160          |      Euro 200        |
|___|_______________________|__________________________|______________________|
|   |                       |                          |                      |
|   |   Extra proceedings   |        Euro  80          |      Euro  80        |
|___|_______________________|__________________________|______________________|

          TOTAL:   Euro ___________________________________

*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 +43 1 58 69 149. 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 proceedings nor banquet.


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 or 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
       BIC/SWIFT Code   : BKAUATWW