International Conference on
Design & Technology of Integrated Systems
In Nanoscale Era
March 25-28, 2008 Tozeur, Tunisia
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DTIS’08 REGISTRATION FORM
Note: * indicates a required field
Title *
Paper(s) Reference Number(1)*
First name * (DTIS08-xx, DTIS08-yy)
Last name *  
Profession *  
Affiliation (University/Company Name) *  
Street address * (Do not use quotation marks ")
(Will be used to send the conference CD-ROM)
 
City/State *  
Postal (zip) code *  
Country *
Telephone       Fax
E-mail *  
Accompanying Person(s) Name(s)  
Will you participate in the tutorial?                      IEEE Membership #
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Registration fees: (2) *  
 
Before February 22, 2008
After February 22, 2008
University member 350 Euros   400 Euros
Industrial member 350 Euros   400 Euros
Student** member 250 Euros   300 Euros
IEEE University member 300 Euros   400 Euros
IEEE Student** member 200 Euros   250 Euros
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Extra Conference CD-ROM 25 Euros   35 Euros Quantity *
(includes shipping)            
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Sight Seeing ticket 20 Euros   30 Euros Quantity *
(not included in registration fees)            
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Special Dinner Ticket 50 Euros   65 Euros Quantity *
(not included in registration fees)            
 
**To be eligible for the student rate, please fax (or scan and send attached) an evidence of your "University Registration Record".
The payment proof and IEEE Copyright Form must be faxed (+216 74 677 657), or scanned and sent to: brahim.mezghani@enis.rnu.tn, by February 29, 2008.

Payment Mode:(3) With a bank transfer(4) to the following (Bank Transfer Fees and all taxes MUST be prepaid)

Account holder: "Association Université et Environnement" (DTIS’08)
Bank name: BNA
  Address: Rue Farhat Hached, 3069 Sfax, Tunisia
Account number: 03 701 045 0101 104387 04
IBAN code: TN 59 03 701 045 0101 104387 04
Swift code: BNT ETN TTSFX
(1) If you will be coming as a visitor please type "Visitor".
(2) At least one of the listed authors must register at a full rate. A registration can be used for up to two papers and includes : conference room access, coffee breaks, three days lunch tickets, conference CD-ROM and a carry documents.
(3) Order forms are not accepted.
(4) The Conference name (DTIS) MUST be mentioned on ANY bank transfer form.