First name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Last name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ECOOP 2015 July 5 - 10, 2015 Prague, Czech Republic Advance Registration Form (page 1 of 2) Organiser code . . . . . . . . . . . . . . . . . . . . . . Organisation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State/Prov . . . . . . . . . . Postal/Zip Code . . . . . . . . . . . . . . Country . . . . . . . . . . . . . . . . . . . . . . Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . In an effort to better serve the entire community, we have started collecting demographic information regarding attendees. This information will be used by future organizers to make their planning more effective and help extend the reach of the conference to underserved communities. 1. Gender: q Male q Female q I prefer not to say 2. Age: q under 25 q 25 - 34 q 35 - 44 q 45 - 54 q over 54 q I prefer not to say 3. Role: (check one) q Student q Academic Researcher q I prefer not to say q 0 4. Number of previous ECOOPs that you have attended: q Industry Researcher q 1 q 2 q 3 or more 5. Are you an author of any material being presented at ECOOP or co-located meetings? 6. q I want vegetarian meals q Professional Developer q Other Computer Industry q I prefer not to say q Yes q No q I have special needs: _______________________________________________________________________________________ FEES in EUROs On or Before June 6 June 7 thru July 4 After July 5 & On-site (please circle applicable fees) Regular Regular Regular q ECOOP 600 €350 €650 €400 €750 €450 € € _______ 600 € € _______ q Curry On Student n/a Student 650 € n/a Student 750 € n/a q ECOOP Full 700 €450 € 750 €500 € 850 €550 € € _______ q Curry On Full 700 € n/a 750 € 850 € € _______ q Workshops 350 € 250 € 400 €300 € 450 €350 € € _______ q Monday 6 July 180 €150 €220 €180 €250 €220 € € _______ q Tuesday 7 July 180 €150 €220 €180 €250 €220 € € _______ q Wednesday 8 July 180 €150 €220 €180 €250 €220 € € _______ q Thusday 9 July 180 €150 €220 €180 €250 €220 € € _______ q Friday 10 July 180 €150 €220 €180 €250 €220 € € _______ q Banquets: ________ ECOOP ticket(s) x 100 € € _______ q ECOOP Proceedings: ________ ticket(s) x 50 € . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . n/a n/a ________ Curry On ticket(s) x 100 € € _______ TOTAL FEES: € ___________ PAYMENT INFORMATION: Please make checks payable to ECOOP 2015. Mail form with payment to: Payments by Visa and MasterCard will appear on your credit statement with description “AITO.e.V.”. Your signature indicates your agreement to pay the fees with the credit card number provided below: ECOOP 2015 c/o Registration Systems Lab 779 East Chapman Road Oviedo, FL 32765 USA ________________________________________________________ ____________ Card Nr. Card ID Code† __________ Expires _________________________________ _______________________________________________ Cardholder’s Name Cardholder’s Signature _________________________________________________________________________________ Billing Address (if different from above) Fax to: +1 407 366 4138 Register on-line at: https://regmaster4.com/2015conf/ECOOP15/register.php Questions? Please call: +1 407 971 4451 or email: [email protected] † Required: Last 3-digit code on back of Visa & MasterCard signature tape. ecoop15.p1.v6.0628 Cancellation requests must be sent by email to [email protected]. Refund policy is as follows: On or before June 4: 90% of the full amount will be refunded. June 5 through June 25: 50% of the paid amount will be refunded. After June 25, no refund will be given. You may request a change to your registration at any time up to one week before the conference. You will receive a new confirmation email at that time. If your changes result in a refund due, the refund will be made within 30 days after the conference. "No shows" are not refundable and are liable for the full registration fee. Instead of canceling, your registration may be transferred by giving a colleague a written authorization. Force Majeure: The organisers are not liable for any claims for damages and/or losses, including registration fees, if the entire conference has to be cancelled due to a force majeure incident. Payment by Wire Transfer: If you need to pay by Wire Transfer, please contact us at [email protected] or +1 407 971 4451 between 9am and 5pm Eastern Standard Time for further instructions. Accommodations: Please see the main conference website for information about accommodations. Please indicate the event that you are most likely to attend on each morning and afternoon. You will be free to move between events at the same time; this indication is to assist us in planning spaces for events. The Workshops on Sunday 5 July are free for anyone participating in some aspect of the Conference. The Doctoral Symposium is only open to Ph.D students. Sunday July 5 Morning Afternoon q q q q q q q q q q Pharo Workshop RIOT Workshop MASPEGHI Workshop COP Workshop Doctoral Symposium RIOT Workshop MASPEGHI Workshop COP Workshop Doctoral Symposium Morning Afternoon q q q q q q q q q q q q STOP Workshop JSTools Workshop PLAS Workshop ICOOOLPS Workshop NetPL Workshop July 5 - 10, 2015 Prague, Czech Republic Advance Registration Form (page 2 of 2) Pharo Workshop Monday July 6 Curry On Conference ECOOP 2015 Curry On Conference STOP Workshop JSTools Workshop PLAS Workshop ICOOOLPS Workshop NetPL Workshop Tuesday July 7 Morning Afternoon q q q q q q q q q q q q DSLDI Workshop PLE Workshop Truffle Workshop DSLDI Workshop Wednesday July 8 Morning Afternoon q q q q ECOOP Conference Summer School ECOOP Conference Thursday July 9 Morning Afternoon q q q q ECOOP Conference Summer School ECOOP Conference Friday July 10 Morning Afternoon q q q q ECOOP Conference 9 y ul ul Sc er Ta l m Su m ps ks ho W or ks s ue t nq Ba O P ho ol ,J ,J ue t nq Ba n O ry ur C ECOOP Conference y nc he Lu & s ea k Br e C of fe Summer School 6 s What Your Registration Includes: EC O Summer School O P Summer School EC O Summer School Ta lk Truffle Workshop FTjJP Workshop n PLE Workshop ML4PL Workshop O FTjJP Workshop Curry On Conference ry ML4PL Workshop C ur Curry On Conference * **** Curry On ** **** Regular ECOOP Full only * ***** Curry On Full ******* One Day Pass (Mon, Tue) ** One Day Pass (Wed, Thu, Fri) *** ECOOP Regular only Banquet tickets may be purchased onsite. ECOOP Print Proceedings must be ordered prior to 15 June 2015. They will not be for sale onsite. The Sunday Workshops are fee to any registered attendee. ecoop15.p2.v6.0628
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