Registration

Please, fill in the form below. Items signed by asterix are required. Every conference participant should fill in this form (incl. exhibitors and accompanying person).

Personal information

First name:*
Surname:*
Titles before name:
Titles after name:
I am accompanying person:
I am student:
Study confirmation1:
I am member of IEEE:
IEEE Card Number2:

1Please upload study confirmation (e.g. a copy of valid student ID) by April 17, 2016.
2Please complete by April 17, 2016.

Contact information

Organisation:*
Address
(street, number):*
City:*
Post/Zip codes:
Country:*
E-Mail:*
Phone number:
Mobile phone:
Fax number:

Payment details & payment

Attach to another invoice: I wish to attach my due fees to the receipt/tax document of another participant(s).3
Unique key:*
Same address as
in Contact information:
Organisation
(precise name):*
Address
(street, number):*
City:*
Post/Zip codes:
Country:*
Company ID:
VAT No.:
Currency:* EUR CZK
Payment method:*
Account number:
Note:

3Automatically generated unique key of this person is required (available in personal administration area - Registration and invoice infos).

Conference services

Formal Invitation Letter for visa is required:*
Book for me one parking place in GrandioR underground garage (650 CZK/24 hours) for the dates:
Numberplate of my car is:
Note: The maximum height of the car can be 2,3 m. One hour rate is 40 CZK per hour.
Vegetarian meals:*
Any other dietary requirement? If yes, please specify.
I will participate at Welcome Party (16 May 2016, free of charge):*
Welcome Party for the accompanying person/s (e.g. your wife/husband - NOT participant of the Conference)?*
I will participate at the Conference Dinner (17 May 2016, free of charge):*
Conference Dinner for the accompanying person/s (e.g. your wife/husband - NOT participant of the Conference)?*
I will have lunch 16 May 2016:*
I will have lunch 17 May 2016:*
I will have lunch 18 May 2016:*
I will participate in Guided City Tour (18 May 2016, free of charge):*
Selection of conference services is completed:

Partnership, exhibition – preliminary interest

Company presentation:We are interested in a company stand.
We are interested in placing an advert in the conference proceedings.
Sponsorship:We are interested in the conference sponsorship.

Submission:

Message
for organizers:
Items marked * are obligatory.
Submission:
Visitors: [CNW:Counter]