NSS 2010 / HPCC 2010/ ICKDE 2010
1-3September 2010, Melbourne,
Victoria, Australia
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Registrant Information * Indicates required fields
*Last/Family/Surname*First/Given Name *Conference Paper ID
*Conference Paper Title
*Organization/Company
*Primary Address Address (Line 2)
*CityState/Province*Postal/Zip Code*Country/Region
*Email Address (required for confirmation purposes)*Main Telephone Number
If you do not want to be contacted for future NSS conferences please check here.
*Which conference or workshop will you be registering for? NSS-10HPCC-10ICKDE-10APWCS-10BFSCS-10DSMP-10 IDCS-10 AHPCN-10
*Do you have any special dietary requirements? Yes No If yes, please specify ______
*Do you consume alcohol (for the purpose of conference dinner and welcome reception catering)Yes No
*Will you be attending the conference dinner? Yes No
Registration Fees (in Australian Dollar)
On/Before 15 July 2010 After 15 July 2010
IEEE MemberA$800A$900 A$______Your IEEE membership number
IEEEStudent MemberA$700A$800 A$______
Non MemberA$900A$1000 A$______
Student (Non Member)A$800A$900 A$______
Additional Conference Dinner TicketA$100 × Number of ticket A$______
Additional Page (per page)A$100 × Number of extra pages(2 pages maximum) A$______
Additional Paper (per paper)A$500 × Number of extra papers A$______
Total A$______
Registration Includes: Full attendance of NSS 2010, HPCC 2010 & ICKDE 2010 conferences & workshops, Proceedings of NSS 2010 (including ICDKE, APWCS, and BFSCS) or HPCC 2010 (including IDCS, DSMP, and AHPCN), Welcome Reception, Conference Dinner, Morning / afternoon teas and Lunches.
Cancellation Policy:Cancelled registrations will receive a refund minus a A$50 cancellation service fee. All requests for refunds must be submitted in writing to , and received by 15 July 2010. No refunds (substitutions only) will be provided after this date.
METHODS OF PAYMENT
Payments can be made by (1)credit card (VISA or Mastercard only), (2) direct deposit / bank transferor (3) cheque/international bank draft/postal order.All payments must be made in Australian Dollars.
If pay by (1) credit card, please provide the following information:[ ] VISA or [ ] MASTER
Card number: ______
Expiry date (mm/yyyy): _ _ / _ _ _ _
Name of card holder: ______
Amount A$: ______
Signature: ………………………………………… / If pay by (2)direct deposit / bank transfer, please deposit payment to:
Account name: A C Global P/L
ABN: 83089252488
Bank Name: Commonwealth Bank of Australia
Branch: Glen Waverley, VIC 3150, Australia
SWIFT code: CTBAAU2S
BSB/Account No: 063182 10786259
You must also include your name, the conference name “NSS 2010”, “HPCC 2010”, “ ICKDE 2010”, “APWCS 2010“, “BFSCS 2010“, “DSMP 2010”, “IDCS 2010”, “AHPCN 2010”, and your paper ID on your monetary transfer. Please email the Conference Secretariatthe date and receipt number of your transfer.
Alternatively payment may be made by bankcheque, international bank draft or postal order in Australian Dollars. All payments should be made out to ‘A C Global P/L‘and posted to the Conference Secretariat with your registration form.
All receipts will be emailed. Hard copies can be obtained and will be available for collection at the conference upon written request to the Secretariat.
Payment method
Direct Deposit Credit Card (Information has been provided above) Cheque/International BankDraft/Postal Order enclosed
Submit online or Mail/Fax Completed Registration Form & Payment information To:Ms Georgi Cahill, Conference Secretariat
NSS 2010 / HPCC 2010/ ICKDE 2010
School of Information Technology, DeakinUniversity
221 Burwood Hwy, Burwood, VIC 3125, Australia
Phone: +61 3 9251 7489; Fax: +61 3 9244 6831
email: