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Registration

Title:

Surname:*

Firstname:*

Affiliation:*

City:*

Country:*

E-Mail:*

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Please note:

I agree that my contact information will be provided to the conference donators and that they contact me

Do you have any dietary restrictions? If yes, please let us know:

vegetarian

vegan

no porc

Other restrictions:

* mandatory field

Fees

Late/On-Site Registration

IEEE Members 678 EURO*

Non-IEEE Members 848 EURO*

IEEE Student Members 407 EURO*

Student Non-IEEE Members 543 EURO*

*Fees include 19% VAT

**Student fees require the verification of your student status. Please provide until March 5th, 2016 a copy of an acceptable verification document (official university registration document, letter by the dean of your department, student ID indicating an end-date, or the like) to eurosp2016@ieee-security.org

Methods of payment

Payment:*

VISA

Mastercard

Card number:

Expiry Date (Month/Year):

CVC No. (on the back of the card):

Please note:

I hereby confirm that I am authorized to use the indicated credit card.

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Amount:*

Please confirm the chosen registration option by manually entering the registration fee.

* mandatory field

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