CITS 2015 Registration Form

CITS 2015
REGISTRATION FORM
2015 IEEE International Conference on Computer, Information and Telecommunication Systems, CITS 2015
July 15-17, 2015, Gijón, Spain (http://atc.udg.edu/CITS2015/)
Please complete this form, zip it with your proven wire transfer documents. Find your “EDAS identifier
(number)” from EDAS and save the file as: EDAS identifier-Surname-Firstname.zip
Send the zip file to:
Kuei-Fang (Leila) Hsiao <[email protected]>
Kasim Al-Aubidy <[email protected]>
PLEASE FILL IN A SEPARATE REGISTRATION FORM FOR EACH ATTENDEE
CONFERENCE Attendee (This information will be used for the list of attendees and
correspondence.)
Title
EDAS Identifier (no.)
Name
Affiliation
Mailing
Address
City, Zip,
Country
Phone
Email
ACCEPTED PAPER (for Author Registration ONLY)
[PAPER 1] Paper ID:
Authors:
Title of the paper:
[PAPER 2] Paper ID:
Authors:
Title of the paper:
REGISTRATION Rates for CITS 2015
* For Author registration, no later than May 31, 2015.
* For Member, please do fill in your IEEE/ SCS membership details in EDAS.
Author, Member
[by May 31, 2015 ONLY]
Author, Regular
 EUR 590
( Cover ONE 5-page paper registration, entrance to all technical sessions, proceedings
on CD, coffee during breaks; two lunch tickets; and one banquet ticket with a tour.)
 EUR 690
(for non-member)
[by May 31, 2015 ONLY]
( Cover ONE 5-page paper registration, entrance to all technical sessions, proceedings
on CD, coffee during breaks; two lunch tickets; and one banquet ticket with a tour.)
Early Non-Author, Member
 EUR 590
[by Jun. 15, 2015]
( Cover entrance to all technical sessions, proceedings on CD, coffee during breaks; two
lunch tickets; and one banquet ticket with a tour.)
Early Non-Author, Regular
[by Jun. 15, 2015]
 EUR 690
( Cover entrance to all technical sessions, proceedings on CD, coffee during breaks; two
lunch tickets; and one banquet ticket with a tour.)
Late/On Site Non-Author, Member
 EUR 690
[after Jun. 15, 2015]
( Cover entrance to all technical sessions, proceedings on CD, coffee during breaks; two
lunch tickets; and one banquet ticket with a tour.)
Late/On Site Non-Author, Regular
 EUR 790
[after Jun. 15, 2015]
( Cover entrance to all technical sessions, proceedings on CD, coffee during breaks; two
lunch tickets; and one banquet ticket with a tour.)
 EUR 250
Non-Author, Student
( Cover entrance to all technical sessions, proceedings on CD, coffee during breaks; two
lunch tickets; and one banquet ticket with a tour.)
Additional Fees:
Each Extra Paper
One paper with EUR 350 X
(num. of extra papers) = EUR
(for each 5-page paper beyond one paper/registration)
Each Extra Page
One page with EUR 100 X
(num. of extra pages) = EUR
(for each page beyond 5 pages/paper)
Meal Type:  Regular meal;
 Vegetarian meal
(Your registration fee includes two lunch tickets; and one banquet ticket with a complimentary tour already.)
Each Extra Banquet Ticket with a Complimentary Tour
EUR 60
X
(num. of extra tickets ) = EUR
Each Extra lunch ticket (for July 15, 2015)
EUR 15
X
(num. of extra tickets) = EUR
Each Extra lunch ticket (for July 16, 2015)
EUR 15
X
(num. of extra tickets) = EUR
Total (All payments will be
included in a lump sum receipt.)
EUR :
(Please fill in)
Payment Information
(very important information)
If pay by wire transfer, the sender is responsible for bank charges: We remitted the
total amount EUR
on date
/
/
name of
(month/day/year), by the
(name of remitter), by bank
transfer through
(name of bank), to the
following:
Beneficiary (Account holder name): CITS
Beneficiary's Bank: CAIRO AMMAN BANK
Bank Branch: Philadelphia University Branch (Branch No.: 1261)
Beneficiary's A/C No.: 0150081709200
IBAN: JO06CAAB1261000000090003168521
Swift Code: CAABJOAM
Tel:
+962 2 6374604 / Fax: +962 2 6374605
※ Please give a clear indication of CITS 2015, your EDAS identifier, name and your Paper ID
(if any) at "Payment Details" item in your bank transfer application form. For more questions
regarding registration, please email to:
Dr. Kuei-Fang (Leila) Hsiao <[email protected]>
Kasim Al-Aubidy <[email protected]>
Signature:
Date:
Remarks:
CANCELLATION POLICY:
(1) Author Refunds - Authors who have their papers included in the proceedings are not eligible
for a refund. (2) 50% Refunds – Non-authors Refund requests received before May 15, 2015. (3) No
Refunds – Refund requests received after May 15, 2015 will not be eligible for a refund.
NOTE:
At least one author of each accepted paper must register using the “author registration” rate to ensure that
the paper is included in the CITS 2015 IEEE Xplore proceedings and meet the deadline of May 31, 2015.
If the registration fee is not received by this date, the paper will not be included in the CITS 2015 IEEE
Xplore proceedings.