(form version 1.06)

TPNC 2012 Registration Form

We kindly ask all participants, including invited persons and members of the organizing committee, to register. For security reasons, you should fill in the form in less than 10 minutes.

Early (resp. late) registration fees must be paid by bank transfer before July 1, 2012 (resp. September 21, 2012) to the
conference bank account:
Uno-e Bank
bank's address:
Julian Camarillo 4 C, 28037 Madrid, Spain
IBAN: ES3902270001820201823142
SWIFT/BIC code: UNOEESM1
account holder: Carlos Martín-Vide GRLMC
account holder's address: Av. Catalunya 35, 43002 Tarragona, Spain.


Please provide the following contact information: (bold fields are mandatory)!

1 The default values for City and Country fields are based on the client IP remote address. This information might be not very accurate (due to ISP policies, proxy connections, etc.), and we kindly ask you to provide the right values for the registration form.

Name:

Name in Latex:
(with accents, please)

Title:

Affiliation:

City1:

Country1:

E-mail:


Registration Type:

Student early registration, 400 Euros

Student late registration, 440 Euros

Student on-site registration, 480 Euros

Full early registration, 500 Euros

Full late registration, 540 Euros

Full on-site registration, 580 Euros

Invited speakers, members of the Organizing Committee

Poster presentation, 135 Euros


Supplementary information:

Arriving Date:

Departure Date:

Special requests,
extra proceedings,
dietary restrictions, etc.:


Acknowledgement and Copyright Notice

To get City and Country information we use the GeoLite City databases, and the free server library provided by MaxMind (Copyright (c) 2008 MaxMind, Inc.) for which there is an OPEN DATA LICENSE.

This product includes GeoLite data created by MaxMind, available from http://www.maxmind.com/.