INDIN 2014

Registration Form

Participation is open to everyone interested in Industrial Informatics.

According to the Conference Registration Policy, each accepted INDIN 2014 paper must have at least one Registration of the following categories Society Member, IEEE Member or IEEE Non Member) attached to it before May 15 2014 in order to be included in the conference proceedings (that means, discounted Student Registration does not apply in this case). Authors presenting multiple papers may pay an “Additional Paper Fee” of USD 200,00 for each extra paper (max. of 2 additional papers).

Please provide us with the following information:

I want to attach this registration to a Paper ID I do not want to attach this registration to a Paper ID	Paper ID: *Type the paper id according to the following example: RD-00xxxx
Title:
Full Name* (to appear on badge & certificate):
Affiliation:* (to appear on badge & certificate):
Affiliation Country: (to appear on badge & certificate):
Name on Invoice: (if different from your name):
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
Email Address:*

Select the registration type:	Society Member Advanced Registration - USD 550,00
	Society Member Full Registration - USD 600,00
	IEEE Member Advanced Registration - USD 570,00
	IEEE Member Full Registration - USD 620,00
	IEEE Non Member Advanced Registration - USD 620,00
	IEEE Non Member Full Registration - USD 670,00
	Student IEEE Member Advanced Registration - USD 200,00
	Student IEEE Member Full Registration - USD 220,00
	Student IEEE Non Member Advanced Registration - USD 250,00
	Student IEEE Non Member Full Registration - USD 270,00

	Member code:

Extra pages:	Extra page 1 - USD 100,00
	Extra page 2 - USD 100,00

Additional paper:	Additional paper fee - USD 200,00
	Type the Additional Paper ID:

Tutorials:	Tutorials registration - USD 50,00