REGISTRATION FORM

Industrial Day - June 29th, 2006


Note! If you have already registered for CBSE/QoSa conference, you do not need to register for the industial day separately (it is covered by your conference fee). If you wish to register for the entire conference please follow this link - Register for the conference

Personal information:

First name:   Last name:   E-mail:
Company/
University:
Department:
Street:
Zip Code:   City:   Country:
Phone:   Fax:
 

Price:

Seminar fee: 120 EUR   (lunch and coffe included)
Dinner(s) : x 70 EUR (optional)


Payment:

We can only accept online credit card payments for the conference fees (Visa and MasterCard). Please contact ivica.crnkovic@mdh.se for alternative payment methods if you cannot pay by credit card.

Your card number will be sent through a strongly encrypted connection directly to the bank. Click on the button below to get redirected to TellusPay secure server for online credit card payment. You will be asked for the number, the validation date and the CVC of your credit card.