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Workshop Registration Form
CEM’15 requires one completed registration per participant and per paper.
Please indicate your choices on this form.
(This form contains interactive fields and radio buttons. You may directly write into the interactive fields with Adobe Acrobat.)
Registration Fee
(All amounts already include VAT.)
Early Registration*
On-Site Registration**
Credit Card
430.00 Euro
460.00 USD
Cash
Payment
530.00 Euro
570.00 USD
Bank
Transfer
465.00 Euro
500.00 USD
Credit Card
565.00 Euro
610.00 USD
*Participants are kindly requested to complete their registrations by May 25, 2015, in order to take advantage of
the early-registration rates.
**On-site registration does not guarantee the inclusion of papers in the workshop proceedings since the
proceedings book is published before the workshop.
Contact Information
Prof/Dr/Mr/Mrs/Ms
First/Given Name
Last/Family Name
Organization/Affiliation
Street Address
City
State/Province
Country
Zip/Post Code
Telephone
Cell Phone
Fax
E-mail
Guest Name(s) for Badge
Title of the paper to be
registered
Who will present this paper?
(For papers with multiple coauthors.)
Please communicate your choice of registration type to CEM’15 Secretariat before May 25 by e-mail. Early
registrations should be completed by May 25, 2015, with full payment for inclusion of papers in the
proceedings book, technical program, and IEEE Xplore database.
CEM’15 Secretariat
e-mail: [email protected] fax: +90 312 265 0671
CEM’15 Computational Electromagnetics Workshop Registration Form
phone: +90 312 265 0670
Payment Form
(This form contains interactive fields and radio buttons. You may directly write into the interactive fields with Adobe Acrobat.)
Payment Options
Cash
For on-site registrations, cash payments in Euros and US Dollars will be accepted.
Bank Transfer
For early registrations, bank transfer in Euros and US Dollars will be accepted. The following bank
accounts are provided for this purpose.
IBAN
Bank
Name
EURO
TR760006200053000009096079
USD
TR060006200053000009096078
GARANTİ
BANKASI
GARANTİ
BANKASI
Currency
(International Bank Account Number)
SWIFT
Code
TGBATRIS
TGBATRIS
Branch
Name
Demetevler,
Ankara
Demetevler,
Ankara
Branch
Code
Account
No
530
9096079
530
9096078
Recipient/Beneficiary
Account Name
ABAKUS Bilisim
Teknolojileri
ABAKUS Bilisim
Teknolojileri
• In the “Explanation/Info” part of your transfer, please indicate “CEM15 (Your Last Name) (Your First Name)”.
• In the “Recipient” or “Account Name” part of your transfer, please indicate “ABAKUS Bilisim Teknolojileri.”
• In some rare cases, bank transfers are not routed to the correct destination. In order to minimize such possibilities, please email a copy of your wire transfer document to CEM’15 Secretariat as soon as the transfer is initiated so that it can be checked at
the receiving end.
• Most banks require fees for wire transfers. When initiating a wire transfer, please make sure that the full amount of 465 Euro
(500 USD) will be transferred to the recipient. Please make sure that wire transfer fees will not be deducted from this amount.
Credit Card
For on-site registrations, participants will be able to make their payments with Visa or Mastercard.
For early registrations, participants wishing to make a payment with Visa or Mastercard are kindly
requested to download, complete, and send the Credit-Card Payment Form available at
http://cem15.computing.technology/CEM15_forms.html
Credit Card Information
Card Type:
Visa
Mastercard
Issuer of the Credit Card:
(Name of the bank, company, institution, etc. Also, indicate the
special type of the card, if any, such as Maximum, Bonus, Axess, etc.)
Credit Card Number:
Expiration Date:
/
CCV Security Code:
(mm/yyyy)
The last 3 digits printed on the back of the card.
Please note that this payment can be combined with the social program registration fee and the sum of the two can be paid with
a single bank transfer or credit card payment. In that case, the "Amount to be charged" should indicated the sum of the two.
Amount to be charged:
Please write the amount to be charged
in letters to avoid any mistakes.
Currency:
(Euro or USD)
Euro
I hereby agree to pay the amount indicated above in the currency indicated above to “ABAKÜS Bilişim
Teknolojileri Araştırma ve Geliştirme Müh. Tic. Ltd. Şti.”
Name:
Signature:
Date:
Please fax or e-mail the completed form to the attention of CEM’15 Secretariat.
CEM’15 Secretariat
e-mail: [email protected] fax: +90 312 265 0671 phone: +90 312 265 0670
CEM’15 Computational Electromagnetics Workshop Payment Form