Registration Form (Credit Card)

Participant (Items marked with a * are required)
*First Name
*Last Name
◆ This name will be shown at your Name Tag. ◆
* Please make sure that your paid INVOICE will be sent to the above address.
*Zip/Post Code
Paper #1 Session     Paper ID *(Paper ID and title are required)
Paper Title
Paper #2 Session     Paper ID
Paper Title
Paper #3 Session     Paper ID
Paper Title
Paper #4 Session     Paper ID
Paper Title
Paper #5 Session     Paper ID
Paper Title
Additional Information
*Regular Registration fee Delegate: USD 550
Program Committee, Advisory Board, SERSC Members, and Students: USD 440
    * Select USD 440 if you were an attendee of
      former FGCN/ASEA/SecTech/BSBT/UNESST/DTA/CA/SIP/GDC conferences.

    * Please click here to check the SERSC Member IDs and Names.
    * If you are a student, you will be asked to present proof of your student status (with clearly
      displayed valid period) at the symposium registration desk.

Now I join SERSC membership: Registration fee USD 440 + Membership fee USD 50
    * If you join now, your membership will be available until Dec. 31, 2010.
Program Vice Co-Chairs and all other Chairs: USD 300
General Chairs, Program Co-Chairs, and Workshop Co-Chairs: Free Registration
    * Please click here to see the financial support program, if you are a workshop organizer.
Registration fees include 1. Conference Proceedings, souvenirs, and a bag
2. Lunches
3. Coffee Breaks
4. Conference Dinner (Banquet)
5. All taxes
Extra page fee USD 50 (per 1 extra page)     X page(s)
Additional Proceeding fee USD 100 (per 1 proceedings) X proceedings
Additional Full Paper USD 300 (per 1 paper)           X paper(s)
NOTICE 1. The registration fee includes all technical sessions, coffee breaks, exhibitions
    and 1 proceeding in which your paper is deemed to be included.
2. As soon as the registration is done, NO refunds are available.
Credit Card Information
*Total Amount USD
*Card Number
*Card Expire / (ex. 06/2013)
*Card Holder's Name (Full Name is needed)

via PayGate Inc.