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Facsimile to: IEEE SOCA 2010 Conference Secretariat

+61 8 9266 7548


*** Please complete this form by typing – not hand writing
The registration fees includes proceedings, tea, lunch, reception and gala dinner

IEEE International Conference on Service-Oriented Computing and


Applications
SOCA 2010
Registration http://conferences.computer.org/soca/2010/index.htm
13-15 December 2010
Perth, Western Australia

Title/Salutation: First Name: Last Name:

Organisation / Affiliation:

Address:

Country: Email Address:

Telephone: Fax Number:

If participant / delegate is a member of IEEE, what is the membership number?

Your paper ID #

The registration fee for the conference includes GST (goods and services tax of 10%), a copy of Conference Proceedings on
CD, lunches, coffee breaks, welcome reception, and conference gala dinner.

Full payment by authors is to be made before 15 November 2010 in order to ensure that the paper will appear in the conference
proceedings.

EARLY BIRD REGISTRATION FEES - for payments received on or before 15 November 2010
All amounts are in Participants / Authors per
AUD each Paper
IEEE member □ AUD $600.00
Non-member □ AUD $800.00
Student IEEE □ AUD $300.00
member
Student non-member □ AUD $400.00

REGISTRATION FEE – for payments received after 15 November 2010


All amounts are in Participants Only
AUD Authors must register before
15 November 2010
IEEE member □ AUD $800.00
Non-member □ AUD $1000.00
Student IEEE □ AUD $400.00
member
Student non-member □ AUD $600.00

Please tick the appropriate registration fee type and write the amount _____________ A

* To claim the IEEE discount, you are required to submit a copy of your ID membership card along with this registration form
** To claim the student discount, you are required to submit a copy of your student ID card along with this registration form

OTHER PAYMENTS Each Amount


Additional Conference Dinner tickets ____ x AUD $200 _____________ B
Extra Proceedings copies ____ x AUD $40 _____________ C
Additional Pages pages ____ x papers ____x AUD $150 _____________ D

Accommodation, tours, hotel transfers etc. can be booked using a different form available on the conference website under the
appropriate pages.
IEEE SOCA 2010
Registration
To calculate the total amount payable for this registration, please add the amounts on the previous page.

TOTAL PAYMENT – A + B + C + D = ____________

Total Payment in AUD Dollars can be made by credit card, cheque or by electronic bank transfer. Please indicate preferred
payment option by ticking the appropriate box.

□ Credit Please circle credit card type: Visa MasterCard


Card

Name as it appears on Credit Card:


Card Number: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __
Expiration Date: __ __ / __ __

Signature of card holder: Date: ____________

□ Cheque Please make cheque payable to Curtin University of Technology – send to: Alex Chan, IEEE SOCA
2010, DEBII, Curtin University of Technology, PO Box U1987, Perth WA 6845, Australia

□ Electronic Name of Bank: BankWest


Transfer
BSB: 306 065
Account Number: 464 3333
Account Name: Curtin University of Technology
SWIFT code for non-Aust Accounts: BKWAAU6P
Reference: SOCA - Surname of Delegate - First Initial

Registration confirmation will be sent to you upon acceptance of full payment.


Registration cancellation can be made until 30 November 2010 with a 10% penalty. After the 30 November 2010, refund will not
be possible.

Please fax this form to: SOCA 2010 Conference Secretariat - + 61 8 9266 7548

Please advise us here of any other relevant information to your registration such as dietary or access requirements:

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