Registration – ISIVC 2014

Registration – ISIVC 2014
2014, Marrakech, Morocco
Last name ....................................................................First name..............................................................................................
Organization................................................................................................................................................................................
Address : ....................................................................................................................................................................................
Phone………...............................................................Fax..........................................................................................................
E-mail Address............................................................................................................................................................................
For Nationals (Fees are in Dirhams)
Before October 31, 2014
After October 31, 2014
Student
□ 1500
□ 2000
Academic
□ 2500
□ 3000
□ 4000
□ 5000
Other
For Internationals (Fees are in Euros)
Before October 31, 2014
After October 31, 2014
Student
□ 200
□ 250
Academic
□ 350
□ 450
□ 450
□ 550
Other
-
Registration fee includes all technical sessions, conference lunches, coffee breaks, one copy of the electronic
proceedings.
Each paper must have at least one author registered. One full registration covers 1 paper.
Gala Dinner: 50 Euros/person
Extra CD-ROM Proceedings: 10 Euros.
Total: ------------------------------Payment
Please, enclose the copy of bank remittance advice / bank transfer confirmation.
□ Bank Transfer (Please ensure that all bank charges are paid in addition to the registration fees)
Payement to :
Address :
ASSO MAROCAINE DE TECHNOLOGIE DES TELECOMMUNICATIONS
ET D’ELECTRONIQUE
ENSA de Marrakech, BP 575, Avenue Abdelkrim Khattabi, 40000, Guéliz – Marrakech
Bank:
Banque Populaire (siège régional)
Agence :
Av Abdelkrim Khattabi, route de Casablanca, BP 480 Guéliz – Marrakech
RIB :
IBAN :
Code Swift :
2111649624710006 94
MA 1454502111649624710006 94
BCPOMAMC
Date .......................................................... Signature ....................................................
Please scan the filled, signed form and the bank transfer confirmation and send
them to ISIVC 2014: Email : [email protected] with cc [email protected]

Download Report