WEDELMUSIC
2001
WEB
DELIVERING OF MUSIC
Registration
Form:Florence, Italy, 23-24 November, 2001
For any question call:
Prof. Paolo Nesi +39-055-4796523
or
Simonetta Ceglia +39-055-4796567
Please complete,
sign and fax at +39-055-4796363
(at the attention
of Prof. P. Nesi)
Family Name: ______________________________
Title:___________
Name:_________________________________________________________
Name of Institution: _________________________________________
Street: ______________________________________________________
ZIP Code and City: ___________________________________________
Country: _____________________________________________________
Phone: ___________________
Fax: ____________________________
E-Mail: ______________________________________________________
IEEE member number: __________________________________________
Registration Fees:
A registration fee includes: the coffee breaks and lunches for the
days of the conference, and the proceedings.
|
before the 20th of October |
after the 20th of October |
| IEEE members |
450 |
550 |
| Non members |
560 |
685 |
| Students |
150 |
250 |
The registration fees are quoted in USA Dollars (US$).
I am paying:
Total _____________ at ______Dip. Sistemi
e Informatica
Date:____________________ Signature:__________________________
Payment:
1) By Credit Card
__ VISA
__ MASTERCARD
Card n. ________________________ Expiry
Date___________________
Cardholder_______________________Date
of Birth________________
Signature of Cardholder __________________
Date ______________
2) By cheque for $ _______ made payable
to Dipartimento di Sistemi e Informatica
NB: Please specify participant's name and company on cheque. Eurocheques
must be signed on the back.