REGISTRATION FORM
Personal Information:
           
Title (select one):
           
Family/Last Name:  
First Name:  
   
Organisation/Affiliation:  
Department:  
Affiliation Shorthand (as will appear on badge):  
     
Address:  
Zip/Post Code:  
City:  
State/Province:  
Country:  
     
Telephone (please include country & area code):  
Fax (please include country & area code):  
Email:  

I would like to be included in the participant list :
     
Are you a Postgraduate Student ?
     
IEEE Member ?
  Please state your Membership Number:

Dietary Restrictions: Are you a vegetarian?
  Any other special dietary restrictions?
 

Date of arrival: / April / 2004
Date of departure: / April / 2004

Are you accompanied? *    
Adults:  
Children:
     
Social events you wish to participate:
(tick for participation)
 
Welcome Reception *
(expenses are included in registration fees)
Adults:  
Children:
 
Afternoon trip to Knossos
and Gala Dinner in Arolithos village *
(expenses are included in registration fees)
Adults:  
Children:
 
Half-day trip to Rethymnon
and Lunch *
(expenses are NOT included in registration fees)
Adults:  
Children:
* (Please only state the number of accompanied persons, without including yourself)


Any additional comments you would like to make:
   


Please Note: Fields in red are required in order for the form to be submitted



CONFERENCE FEES INCLUDE:

Attendance at all sessions, conference proceedings, welcome reception, coffee and refreshment breaks, lunches and the conference banquet.
(all amounts are expressed in Euros)


SYMPOSIUM REGISTRATION

REGISTRATION FEE

By March 1st, 2004

After March 1st, 2004
IEEE Members
€470
€560
Non-Members
€610
€700

By March 8th, 2004

After March 8th, 2004
Student/Life Members
€240
€280
REGISTRATION TOTAL:
€

TUTORIAL DAY

By May 1st, 2004

After March 1st, 2004
IEEE Members
€70
€95
Non-Members
€120
€140
TUTORIALS TOTAL:
€

ADDITIONAL TICKETS

  
Welcome Reception
x €27
Trip to Knossos and Gala Dinner
(transportation,entrance fees,guide,dinner,drinks)
x €50
Excursion to Rethymnon and Lunch
(transportation,entrance fees,guide,dinner,drinks)
x €60
 
(Children prices can be
secured upon request)
SUPPLEMENTARY ACTIVITIES TOTAL:
€




HOTEL ACCOMODATION FORM

Room Type

Single

Double

+Extra Children
Bungalow
€70
€86
Under
12:
x €22 =
Over
12:
x €30 =
Junior Villa
€200
€200
FREE OF CHARGE *
Knossos Villa
€290
€290
FREE OF CHARGE *
 
* For a number of up to four persons in total
HOTEL ACCOMODATION
TOTAL:
(Please pay at the hotel)
€




PAYMENT SUMMARY

Symposium
€
Tutorials
€
Additional Expenses
€
Hotel Accomodation Total
€

GRAND TOTAL:    €