The 1st IFIP TC6 WG 6.6 Workshop on Autonomic Communication Autonomic Communication Principles 18-19 October 2004 in Berlin, Germany International Federation for Information Processing: TC Communication Systems To WAC 2004 Org. Committee Please fill in, print, sign and fax this form to +49 30 3463 8000 (WAC 2004 Org. Committee) The registration fee to attend the WAC 2004 is E 300,00 when paid before 10.10.2004 and E 400,00 when paid after 10.10.04 including on-site payment. Information about participant (please provide information on all fields below) |Academic title (Dr., Prof., etc.) | | |First (Given) Name | | |Last (Family) Name | | |Institution/Company, Department | | |Company address (incl. PostCode) | | |E-mail of the participant | | |Telephone/Mobile | | |Fax | | |WWW | | |Your role in WAC 2004 (invited | | |speaker, session chair, TPC member,| | |speaker, poster presenter, | | |attendee) | | |I intend to participate in panel | Panel1 Panel2 | |(please circle) |Panel3 | Payment by credit card (please provide if you pay by credit card) |Credit card type (select)|VISA |EUROCARD/MASTERCARD | |Amount paid (select) |E 300,00 |E 400,00 | |Name on card (please | | |print) | | |Credit card number | | |Credit card valid through| | Payment by bank transfer (please provide if you pay by credit card) |Amount paid (select) |E 300,00 |E 400,00 | |Recipient |Fraunhofer FOKUS | |Account number |016597700 | |Bank code |100 700 00 | |Name of bank |Deutsche Bank, Filiale 700 | |BIC (SWIFT) Code |DEUTDEBB | |IBAN |DE17 1007 000 0016 5977 00 | |Reason for transfer |WAC 2004 Conference, YOUR NAME | Fraunhofer FOKUS VAT number: VAT-No. DE 129515865 I certify that the above data is correct, I read and agree with terms and conditions of the above payment as explained on the next page by WAC 2004 organisers. | | | | |Place |Date |Signatute | About WAC 2004 Registration fee Participant's registration fee includes WAC 2004 room rental, two coffee breaks and one lunch each day of the workshop (18th and 19th of October); participants proceedings (hard copy), workshop electronic proceedings (memory stick), final proceedings (LNCS volume by Springer) sent by post to the participant's address given above when published after the workshop; participant's kit (WAC program and the list of attendees); two social events (reception on-site and dinner in the heart of Berlin City); processing cost and IFIP charges. The registration fee to attend the WAC 2004 is E 300,00 when paid before 10.10.2004 and E 400,00 when paid after 10.10.04 including on-site payment. Late (after 10.10.04) and on-site payment: WAC 2004 Organizing Committee will do its best but we can not guarantee availability of hard and soft copies of Participants proceeding for those who will register late. We guarantee final proceedings (Springer LNCS volume) for all registered participants. Verification: during on-site registration only credit card payment will be accepted. Your credit card will be verified at registration desk. Receipt: You will be given a receipt of payment at registration desk. Please note, that we issue no invoices. Cancellation policy and processing fee: you can cancel your registration until 13.10.2004 12:00 CET subject to deduction of processing fee (E 35,00); after the above deadline cancellation is not possible. Panel Participation Call for Opinions: WAC 2004 welcomes opinions from attendees on panel topics: up to three slides in ppt or pdf formats have to be sent as e-mail attachment to wac@autonomic-communication.org until October, 10th. Panel participation is subject to time availability, WAC2004 policy is "first come first served." Accommodation and Transportation Fraunhofer FOKUS recommends a number of hotels with special conditions for FOKUS guests, you should contact hotels directly. WAC 2004 is not responsible for hotel room reservations. Should you need a taxi you will be able to order one at WAC 2004 registration desk. Questions should be sent to wac@autonomic-communication.org http://www.autonomic-communication.org/wac Organized by FP6 project ACCA Sponsored by Hosted by Fraunhofer Institute FOKUS, Kaiserin-Augusta-Allee 31, Berlin 10589, Germany Fax.: +49 30 3463 8000 Tel. + 49 30 3463 7000, E-mail: wac@autonomic- communication.org ----------------------- [pic]