Social Program Registration Please fill out this form as completely as possible and submit before May 25, 2015 (This form contains interactive fields. You may directly write into the interactive fields with Adobe Acrobat.) Participant Contact Information Prof/Dr/Mr/Mrs/Ms First/Given Name Last/Family Name All social events are subsidized by the main sponsor of CEM'15: ABAKUS Computing Technologies. Registration fees indicated here are symbolic and mainly for the purpose of planning and bookkeeping, not for covering the expenses. Last-minute on-site registration for any social event will be possible, but not guaranteed, and will incur higher fees. Participant Activities Izmir City Tour Wednesday July 01 14:00-18:00 Wednesday July 01 19:00-21:30 Thursday July 02 # of Guests Adults Kids* (Please join us for a bus tour of Izmir.) Fee €0 Fees: €3 for participants, €6 for adult guests, €2 for kids*. Welcome Reception (Kordon Otel Pasaport) €0 Fees: Free for participants and all guests. Trip to Cesme and Alacati 13:30-20:30 (Please bring your swim suits. We will go to a beach club and swim in the Aegean Sea.) €0 Fees: €5 for participants, €9 for adult guests, €3 for kids*. Boat Trip Friday July 03 14:30-18:30 Friday July 03 20:00-22:30 Saturday July 04 Attending? (Interested guests are welcome to join us for a short boat ride in Izmir Bay with the public-transportation boats.) €0 Fees: Free for participants, €3 for adult guests, free for kids*. Workshop Dinner (Formal sit-down dinner.) €0 Fees: Free for participants, €20 for adult guests, €10 for kids*. 09:00-20:00 Trip to Ephesus (Full-day trip to Ephesus, Terrace Houses, Virgin Mary Church, St. John Basilica, and Sirince Village.) Fees: €10 for participants, €20 for adult guests, €5 for kids*. €0 * Kids: Under 12 years old. Total Amount: Euro Payment Method: Credit card only. 0.00 For these small amounts of payments, we do not prefer bank transfers. However, if bank transfer is the only possible way for you, please contact CEM'15 Secretariat. Please note that this payment can be combined with the workshop registration fee and the sum of the two can be paid with a single bank transfer or credit card payment. Credit Card Information Card Type: Visa Issuer of the Credit Card: Mastercard (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: Amount to be charged: (mm/yyyy) The last 3 digits printed on the back of the card. Currency: (Euro, USD or TL) 0.00 Please write the amount to be charged in letters to avoid any mistakes. 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: Comments/Requests: CEM’15 Secretariat e-mail: [email protected] fax: +90 312 265 0671 CEM’15 Computational Electromagnetics Workshop Social Program Registration phone: +90 312 265 0670
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