IEEE BIOMS 2013 REGISTRATION FORM

2013 IEEE Workshop
on Biometric Measurements and Systems for Security and Medical Applications
Napoli, Italy, 9 September 2013

_________________________________________________________________________________________________ 
Last Name					First Name				Initial

_________________________________________________________________________________________________
Organization						 Street Address

_________________________________________________________________________________________________
City			State/ Province 			Country				ZIP Code

_________________________________________________________________________________________________
Phone Number			Fax		 	E-mail Address 			IEEE Member Number

	On or before
23thJuly 2013	After
23thJuly 2013	
IEEE Member	85,00 euro	105,00 euro	
Non-IEEE Member	105,00 euro	130,00 euro	
IEEE Student / IEEE Life Member	50,00 euro	
Extra papers	40,00 euro/each	

Registration fees include admission to all technical sessions, coffee breaks, lunch, and one copy of the CDROM proceedings. 

One full (i.e. not student or life member) author registration will cover publication of one accepted papers. Authors are required to pay 40 euros for each additional paper.

EDAS ID numbers of the papers covered by this registration:
1.	___________________
2.	___________________
3.	___________________
4.	___________________

Registration total: ______________ euro

Signature: 			Date: 		

If this form will be sent by email, this form does not need to be signed since the email address will be considered as your signature.

PLEASE SEND THIS FORM AND THE PAYMENT RECEIPT TO: bioms2013@unimi.it