13th
Annual Computer Security Incident Handling Conference |
Congress
Center Pierre Baudis, Toulouse, France
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REGISTRATION BOOKING FORM
Registration Form |
Please complete each section of this Registration form and mail, with payment to: Karin Moensfirst-2001@first.org |
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Delegate details |
Title: Prof. / Dr. / Mr. / Mrs. / Miss / Ms. (Please circle one) |
First Name: |
Last Name: |
Name on Badge: |
FIRST Team or Department: |
Job Title: |
Institution: |
Street Address: |
City: |
State: |
Postal Code: |
Country: |
E-mail address: (Required for registration confirmation and update mailings) |
Telephone: (Please include country code number) |
Fax Number: |
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Please check whether we need to book an accommodation for you and fill in the hotel booking form. |
Accommodation costs are not included in the conference registration fee. |
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Any special dietary requirements? (e.g. vegetarian):
If yes, please specify: ____________________________________________ |
Any special access requirements?
If yes, please specify: ___________________________________________ |
Are you or your company a Member of FIRST?
Name of FIRST Team: _________________________________________ |
Are you a Voting Representative for your FIRST Team?
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Will you attend the tutorials?
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Please indicate which tutorials you would like to attend: Monday (check one only) *
Tuesday (check one only) *
* Note that these tutorials are tentative only and may be subject to change prior to the conference ; check the preliminary program. |
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Conference Delegate Registration Fees |
Full Conference Registration: June 17-22, 2001. Standard fees
Discounted rates are available for FIRST Members and Sponsors
Full Registration Fees include all meals during conference hours (morning & coffee breaks and lunches Monday-Friday), and conference materials. Full Conference Registration also includes one ticket to the Welcome Reception function and Conference Dinner. Individual Day Registration.
Monday / Tuesday / Wednesday / Thursday / Friday Single Day Registration includes morning & afternoon tea and lunch, plus full conference materials. Accommodation costs are not included in the conference registration fee. |
Total Registration Fees Payable: € ____________ |
* Note : Registration fees are also payable in French Francs using the official exchange rate of 1 Euro = 6.55957 FRF |
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Spouse/Guest Social Function Fees |
Spouses/Guests of full conference delegates wishing to attend the social functions during the week must register and pay to attend. Name of Guest(s): _____________________________________________ Guest Ticket for Welcome Reception Monday-Friday lunch Guest Ticket for Conference Dinner Total Guest Ticket Cost: €: ______________ |
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Payment Details |
Delegate Name: |
Payment:
Total Amount Payable € ______________ |
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Method of Payment |
Credit Card Type: Mastercard / Visa / American Express (Please circle one) |
Cardholder's Name: |
Credit Card Billing Address: |
City: |
State: |
Postal Code: |
Country: |
Card Number: Note : for registrations sent by email, please use PGP encryption with PGP key for conference available at PGP key link. |
Exp. Date: |
Signature: |
or |
Check in French Francs or €: (Note: Make checks payable to CTA-13th FIRST Conference) |
Bank Transfer in French Francs or €: Bank transfer information is: BANQUE COURTOIS – 82 route de Grenade – 31700 Blagnac (France) Account number: 10268 – 02694 - 57735900200 – 30 Account name: Capitole Tourisme Affaires – 13th FIRST Conference |
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Please Note: Both the Registration Form and Conference Information should be read as comprising the Terms and Conditions of involvement in the 13th Annual FIRST conference on Computer Security Incident Handling and Response.Conference registrations will not be confirmed until the completed form and payment is received and processed by CTA. Confirmation of your registration and accommodation booking will be sent via e-mail (or postal mail if required) A list of all attendees, their institution and e-mail addresses will be included in the delegate packs. The e-mail addresses will also be used to circulate last minute details and announcements of future FIRST events. Attendance and participation at the FIRST Annual General Meeting and FIRST Steering Committee meetings is limited to FIRST team members and their invited guests, subject to approval by the Steering Committee. Cancellation Policy – If you cancel your registration before May 26 you will be entitled to a 40% refund. Registrations cancelled on or after May 26 will not be entitled to a refund. Conference program is subject to change. First.Org, Inc. accepts no responsibility for loss or damage to personal property. |