ICANN 2009
Registration Form		  

 

19th International Conference on Artificial Neural Networks
14-17 September, Limassol, Cyprus


Registration Form

One Registration Form is required for every participant

Contact Details :
Title:*
Name:*
Surname:*
Affiliation:*
Address:*
Postal Code:*
City:*
Country:*
Telephone:*
Fax:
E-mail:*
 
Special Requirements (dietary or physical):
Registration Fee: *
  Before 15, June 2009 After 15, June 2009
ENNS Member Registration € 475 € 545
  ENNS Reg.No:*
Non-Member Registration
(registration rate includes a year’s Membership to ENNS) 		€ 500 € 570
Students  ENNS Members Registration
*(with valid student identification) 		€ 290 € 350
  ENNS Reg.No :*
Student ENNS Non Members
(registration rate includes a year’s Membership to ENNS)		 € 315 € 375
If Author of accepted paper, please list its Number Paper Number
Notes:
  1. The registration fee for participants includes: Conference Attendance including all workshops, Welcome Reception, Gala Dinner, Coffee Breaks, Conference Proceedings in a book format and in a CD-ROM format.
  2. The registration fee for students includes: Conference Attendance including all workshops, Welcome Reception, Gala Dinner, Coffee Breaks and Conference proceedings in a CD-ROM format.
  3. All Lunches are optional. Lunch vouchers can be purchased at the Registration Desk.
 
GRAND TOTAL:
Full payment of registration fee and hotel accommodation must accompany this form. For payment options please see below:
Registration Fee (Participant or Student): €
Extra Page Fee:
(if paper exceeds 10 pgs @ €100 per page)		 €
Additional Paper Fee @ €250: €
Additional Copy of Springer-Verlag Proceedings @ €120 €
Additional CD-ROM @ €50 €
Additional Banquet Tickets @ €75 €
GRAND TOTAL: €
 
FORMS OF PAYMENT:
Credit Card: VISA MASTERCARD DINERS AMEX
I hereby authorise TOP KINISIS TRAVEL LTD to charge the equivalent of the GRAND TOTAL in Euros to the credit card below:
Credit Card Number:
Expiry Date:
Name of Cardholder:
If you are unwilling to provide your credit card information online, please fill this form, print it and fax it to the Conference Secretariat at: +357 22869735
Bank Transfer to:
Account Details:  
Top Kinisis Travel Public Ltd
Bank of Cyprus, Corporate Service Center Nicosia
P.O.Box 21472, 1599 Lefkosia (Nicosia), CYPRUS
A/c no. 0199-40-000249-48
IBAN CODE:
CY02 0020 0199 0000 0040 0002 4948
Swift Code:
BCY PCY 2N
(Please fax your bank transfer copy to the Conference Secretariat at: +357 22869735)

IMPORTANT NOTE: The participants themselves must pay all banking charges. The organisers need to receive the net amount of the participant’s grand total.  Please ensure that the participant’s name, address and Conference name are stated on all payment and transfer documents.
 
 
ADDITIONAL INFORMATION:

For further inquiries please contact the Conference Secretariat:
TOP KINISIS TRAVEL PUBLIC LTD
2 Leonidou & Acropoleos Ave., 2007 Strovolos
P.O.Box 27031, 1641 Nicosia, Cyprus
Tel.:      +357 22713716, +357 22713760
Fax:      +357 22869735
E-mail: c.distra@topkinisis.com