AST 2009 Registration Form (Credit Card)

Participant (Items marked with a * are required)
*Title
*First Name
*Last Name
◆ This name will be shown at your Name Tag. ◆
*E-mail
*Affiliation
*Address
* Please make sure that your paid INVOICE will be sent to the above address.
*Country
*Zip/Post Code
*Telephone
Fax.
Paper #1 Session     Paper ID *(Paper title is required)
Paper Title
Paper #2 Session     Paper ID
Paper Title
Paper #3 Session     Paper ID
Paper Title
Paper #4 Session     Paper ID
Paper Title
Paper #5 Session     Paper ID
Paper Title
Additional Information
*Regular Registration fee Delegate: USD 300
Program Committee, Advisory Board, SERSC Members, and Students: USD 240
    * Please click here to check the SERSC Member IDs and Names.
    * If you are a student, you will be asked to present proof of your student status (with clearly
      displayed valid period) at the symposium registration desk.

Program Vice Co-Chairs and all other Chairs: USD 150
General Chairs, Program Co-Chairs, and Workshop Co-Chairs: Free Registration
Registration fees include 1. Conference Proceedings
2. All taxes
3. Delivery Charges
Extra page fee USD 50 (per 1 extra page)     X page(s)
Additional Proceeding fee USD 100 (per 1 proceedings) X proceedings
Additional Full Paper USD 240 (per 1 paper)           X paper(s)
NOTICE As soon as the registration is done, NO refunds are available.
Credit Card Information
*Total Amount USD
*Card Number
*Card Expire / (ex. 06/2010)
*Card Holder's Name (Full Name is needed)

                  
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