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25, 26-27 August 2008 · Penang ·
Please send the completed form together with full registration form to:
Conference Co-ordinator
P.O.
Tel: (Int. +44) 1707 - 652
224, Fax: (Int. +44) 1707 - 652 247 E: cgiv08@graphicslink.co.uk
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Del Ref. (if any): ...................... Date: ....................................
Title: ................ Surname: ......................................................... First Name: .........................
Address: ................................................................................................... ..
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Email: ............................................... Tel : ............................ Fax: .........................................
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Registration
Category |
Note: This is Revised
Registration Form and Fee |
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Tick appropriate boxes |
BEFORE 30th May 2008 |
AFTER 30th May 2008 |
BEFORE 30th May 2008 |
AFTER 30th May 2008 |
NOTES |
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Euro = |
ASEAN Countries* |
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[ ] |
Presenter |
[ ] 300 |
[
] 350 |
[ ] 250 |
[ ] 300 |
The
conference registration fee includes: All academic and industrial sessions; one
copy of the conference Proceedings; lunches and refreshments during
conference breaks. Select
separately if you want to attend following at greatly subsidised rate: 1.
Conference
Social event 2.
Phd
Workshop |
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[ ] |
Participant |
[ ] 300 |
[ ] 350 |
[ ] 250 |
[ ] 300 |
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Author Student |
[ ] 250 |
[ ] 300 |
[ ] 200 |
[ ] 250 |
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Non-Author Student |
[ ] 150 |
[
] 200 |
[ ] 150 |
[
] 200 |
The
conference registration fee includes: All academic and industrial sessions;
lunches and refreshments during conference breaks Does NOT include copy of the conference Proceedings and
social event and Tutorial session |
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[ ] |
Excess Page Fee |
40 EURO / page |
Authors/presenters
only - |
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Doctoral Workshop |
[ ] 30 OR
[ ] 150 RMY |
[ ] 30 OR
[ ] 150 RMY |
Only
Monday 25 August 2008 Book of Abstract ONLY |
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Social Event Ticket |
[ ] 15 [ ] 20 |
Delegate rate Delegates guest - Indicate delegates names and
guests |
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[ ] |
IV Society |
[ ] 0.00 |
Ordinary membership -Information Visualisation Society |
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[ ] |
IV Society |
[ ] 80 |
Extended membership: membership + subscription to the journal
Information Visualization (http://www.palgrave-journals.com/ivs/). |
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Total amount enclosed: |
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PLEASE NOTE:
Method of Payment:
Payment of fees will be
accepted in EURO (or equivalent USD or GB Pounds only) tick appropriate box
below for payment method:
[ ] Cash.
[ ] Cheques or Bank Draft - Should be payable to the order of
"GraphicsLink...cgiv08).
[ ] Direct
Bank Transfer: Payment to "GraphicsLink...cgiv08"
Bank
: HSBC Bank,
Account
Number: 01437305 Sort Code: 40-06-27
Please note that your cheque
payment or a copy of your bank transfer should be attached to this form. For
all payment reference, please give your delegate reference number and your name
and institution.
Additional Information:
How did you hear about the
CGIV06 conference? [ ] Email [ ] Web [ ] Magazine advertisement [ ]
Mailing List
[ ] Colleague
[ ] Attended before [ ]
Other:
Which of symposia are you
particularly interested in?
.
Signature:
Date:
..
(I authorise payment for this registration to be processed as I have
indicated above)
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Print version of Registration form