EUROCON 2015 .- 16th International Conference on computer as a Tool

08/11 September, 2015 Salamanca, Spain

Back to the Congress website

Sponsors

Registration Form

PERSONAL DATA

Mr. Ms.

First Name:

Family Name:

Identity document:

Number:

Nationality:

Date of birth:

Format: dd/mm/yy

Personal Address:

Zipcode:

City/Town:

Province / Country / State:

Tel.:

Fax:

E-mail:

Repeat E-mail:

Institutional affiliation - Department Company:

Title (Dr/Prof):

Terms:

Regarding the L.O.15/1999 law of December 13, which deals with the treatment of personal information and databases, we would like to inform you of the following:
 
 A.- The data provided by the user will be added to a database which is kept, owned and managed by Congresual SLL, and Congresual SLL the responsible party for any use of such information. The fiscal information of Congresual SLL is: CIF B-37495116 and address: C/ Camelias 470 .  CP 37449  Galindo y Perahuy (Salamanca). The database is being registered in the General Register for Databases and it has the required code, which is assigned by the Spanish Data Protection Agency.
 
 B.- Congresual SLL guarantees the confidentiality of all the information provided by the user. The obtaining and management of the data is done following strict levels of security apart from the levels required by law in order to assure that such confidential information may not be lost nor obtained by a third party.
 
 C.- Following the current legislation, all users of Congresual SLL Server have the right to enter, modify or cancel his/her personal data. If the user chooses to cancel the personal information previously given to Congresual SLL, after the user logs off, all confidential information will be erased from the system, except information related to historical or statistical purposes.
 
 In order to modify the previously mentioned information, the user must do so in writing, by sending a formal allowance to Congresual  by regular mail to the following address:
 
 Congresual SLL, C/ Camelias 470 .  CP 37449  Galindo y Perahuy (Salamanca)

I have read and I agree the terms that appear in this registration form

Required fields

INVOICE DETAILS (if different than the above)


Initially the invoice will be fill in with the information provided in this registration form. If you need any change in your invoice, please use the box below: -The official invoice will be provided directly in the congress-

Institution Name:
Institution Address:
Zipcode:
City/Town:
Province:
Tel.:
Fax:
E-mail:
VAT Number

Please, you should complete the Identity Document or the Vat Number for your invoice.

REGISTRATION

Before 12th July, 2015

After 12th July, 2015

IEEE Member (*)(1)

340,00 €

370,00 €

IEEE LIFE/Student Member (*)(1)(2)

270,00 €

300,00 €

Non IEEE Member (*)

450,00 €

500,00 €

Student Non IEEE Member (*)(2)

320,00 €

350,00 €

Accompanying person (**)

240,00 €

Additional paper fee

150,00 €

Additional pages (***)

100,00 €

(*) Full conference fees including lunches, dinners and social activities
(**) Includes lunches, dinners and social activities
(***) A charge of 100 € will be applied for each extra page.
(1) IEEE Members must provide proof of their status with a copy of their IEEE card sent with the registration form. The document has to be presented when collecting the documentation.
(2) Students must provide proof of their status with a copy of their student card sent with the registration form. The document has to be presented when collecting the documentation.

The first contribution is included with the registration, the cost of additional contributions in EUROCON´15 is 150 €.

CONTRIBUTION

I DO NOT SUBMIT ANY CONTRIBUTION

CONTRIBUTION

Id: