International Conference on Design & Technology of Integrated Systems in nanoscale era (DTIS'10)
March 23-25, 2010 Hammamet, Tunisia
 
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DTIS'10 REGISTRATION FORM
Note: * indicates a required field
Title *
Paper(s) Reference Number(1)*
First name *
Last name *  
Profession *  
Affiliation (University/Company Name) *  
Street address * (Do not use quotation marks ")
(Will be used to send the conference CD-ROM)
 
City/State *  
Postal (zip) code *  
Country *
Telephone            Fax
E-mail *  
Accompanying Person(s) Name(s)  
IEEE Membership #  
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Registration fees: (2) *  
   
After February 22, 2010
University member     450 Euros
Industrial member     550 Euros
Student** member     400 Euros
IEEE University member     400 Euros
IEEE Student** member     350 Euros
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Extra Conference CD-ROM 25 Euros Quantity *
(includes shipping)        
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Extra papers 100 Euros Quantity *
(Only if the author has more than 2 papers)        
**To be eligible for the student rate, please fax (or scan and send attached) an evidence of your "University Registration Record".
The payment proof and IEEE Copyright Form must be faxed (+216 74 677 657), or scanned and sent to: mohamed.masmoudi@enis.rnu.tn, by March 1st, 2010.

Payment Mode(3):

- Cash at the registration desk
- With a bank transfer(4) to the following (Bank Transfer Fees and all taxes MUST be prepaid)

Account holder: "Association Université et Environnement" (DTIS'10)
Address: Présidence de l'Universite de Sfax, Route de l'Aéroport, Km 0.5, 3029 Sfax.
Bank name: BNA
  Address: Rue Farhat Hached, 3069 Sfax, Tunisia
Account number: 03 701 045 0101 104387 04
IBAN code: TN 59 03 701 045 0101 104387 04
Swift code: BNT ETN TTSFX

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(1) If you will be coming as a visitor please type "Visitor".
(2) At least one of the listed authors must register at a full rate. A registration can be used for up to two papers and includes : Conference room access, Tutorial/Workshop access, Coffee breaks, three days lunch tickets, special dinner ticket, sight seeing ticket, Conference CD-ROM and a carry documents.
If the author has more than 2 papers, he should pay extra /paper.
(3) Order forms and credit card are not accepted.
(4) The Conference name (DTIS) MUST be mentioned on ANY bank transfer form.