Workshop Registration form
Participant
*
= required field
Last (Family) Name:
*
First (Given) Name:
*
Title (Mrs, Mr, Prof, Dr):
*
Affiliation:
*
Address:
*
City:
*
Zip code:
*
Country:
*
Email:
*
Phone:
*
Fax:
*
Registration Fees
You may register for one or more workshops at a time. A discount applies when a registration is received for two or more workshops.
The discount is
40 euro
for two workshops and
80 euro
for three workshops.
Workshop
On or before August 31
After August 31
First International Workshop on Security and Trust Management (STM)
100 euro
120 euro
Frontiers in Electronic Elections (FEE)
100 euro
120 euro
First Workshop on Quality of Protection (QoP)
140 euro (including post-proceedings by Springer)
160 euro (including post-proceedings by Springer)
Number of additional copies of the QoP post-proceedings (40 euro per copy):
Method of Payment
Wire transfer to:
Bank:
Unicredit
Branch:
Agenzia 7 - Milano
Swift code:
UNCRITB1207
Bank code:
ABI 02008 CAB 01607 CIN L
Account number:
4244765
Account holder:
AICA.
IBAN code:
IT06L0200801607000004244765
Please specify your name and the reason for the transfer (Workshop ESORICS'05 registration fees)
Credit Card. I will fax the
registration form
with my credit card information (type, number, expiration date) to +39-0373.898074
Please note that the early bird fee applies only if the payment is received
before
August 31, 2005.
Please include my name on the attendee list (default "yes"):
Yes
No
Disclaimer
Names and addresses of participants who have agreed to be included in the attendee list will be processed electronically to compile such list.
By registering for the workshops, participants express their agreements with these regulations.
You will receive an email confirmation immediately after registering online. However, registration will become effective only after receipt of your payment.