PDF Registration Form

First name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Last name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ECOOP 2015
July 5 - 10, 2015
Prague, Czech Republic
Advance Registration Form
(page 1 of 2)
Organiser code . . . . . . . . . . . . . . . . . . . . . . Organisation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
City . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . State/Prov . . . . . . . . . . Postal/Zip Code . . . . . . . . . . . . . . Country . . . . . . . . . . . . . . . . . . . . . .
Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
In an effort to better serve the entire community, we have started collecting demographic information regarding attendees. This information will be used by future organizers to
make their planning more effective and help extend the reach of the conference to underserved communities.
1. Gender: q Male
q Female
q I prefer not to say 2. Age: q under 25 q 25 - 34 q 35 - 44 q 45 - 54 q over 54
q I prefer not to say
3. Role: (check one)
q Student
q Academic Researcher
q I prefer not to say
q 0
4. Number of previous ECOOPs that you have attended:
q Industry Researcher
q 1
q 2
q 3 or more
5. Are you an author of any material being presented at ECOOP or co-located meetings?
6. q I want vegetarian meals
q Professional Developer q Other Computer Industry
q I prefer not to say
q Yes
q No
q I have special needs: _______________________________________________________________________________________
FEES in EUROs
On or Before June 6
June 7 thru July 4
After July 5 & On-site
(please circle applicable fees)
Regular Regular Regular q ECOOP 600 €350 €650 €400 €750 €450 €
€ _______
600 €
€ _______
q Curry On
Student
n/a
Student
650 €
n/a
Student
750 €
n/a
q ECOOP Full 700 €450 € 750 €500 € 850 €550 € € _______
q Curry On Full 700 €
n/a 750 €
850 €
€ _______
q Workshops 350 €
250 € 400 €300 € 450 €350 €
€ _______
q Monday 6 July 180 €150 €220 €180 €250 €220 €
€ _______
q Tuesday 7 July 180 €150 €220 €180 €250 €220 €
€ _______
q Wednesday 8 July
180 €150 €220 €180 €250 €220 €
€ _______
q Thusday 9 July 180 €150 €220 €180 €250 €220 €
€ _______
q Friday 10 July 180 €150 €220 €180 €250 €220 €
€ _______
q Banquets:
________ ECOOP ticket(s) x 100 € € _______
q ECOOP Proceedings:
________ ticket(s) x 50 € . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
n/a n/a
________ Curry On ticket(s) x 100 €
€ _______
TOTAL FEES:
€ ___________
PAYMENT INFORMATION: Please make checks payable to ECOOP 2015.
Mail form with payment to:
Payments by Visa and MasterCard will appear on your credit statement with description “AITO.e.V.”.
Your signature indicates your agreement to pay the fees with the credit card number provided below:
ECOOP 2015
c/o Registration Systems Lab
779 East Chapman Road
Oviedo, FL 32765 USA
________________________________________________________ ____________
Card Nr.
Card ID Code†
__________
Expires
_________________________________ _______________________________________________
Cardholder’s Name
Cardholder’s Signature
_________________________________________________________________________________
Billing Address (if different from above)
Fax to: +1 407 366 4138
Register on-line at:
https://regmaster4.com/2015conf/ECOOP15/register.php
Questions? Please call: +1 407 971 4451
or email: registration@regmaster.com
† Required: Last 3-digit code on back of Visa & MasterCard signature tape.
ecoop15.p1.v6.0628
Cancellation requests must be sent by email to registration@regmaster.com. Refund policy is as follows:
On or before June 4: 90% of the full amount will be refunded.
June 5 through June 25: 50% of the paid amount will be refunded.
After June 25, no refund will be given.
You may request a change to your registration at any time up to one week before the conference. You will receive a new confirmation email at that time. If your changes result in a refund due, the refund will
be made within 30 days after the conference. "No shows" are not refundable and are liable for the full registration fee. Instead of canceling, your registration may be transferred by giving a colleague a written
authorization.
Force Majeure: The organisers are not liable for any claims for damages and/or losses, including registration fees, if the entire conference has to be cancelled due to a force majeure incident.
Payment by Wire Transfer: If you need to pay by Wire Transfer, please contact us at registration@regmaster.com or +1 407 971 4451 between 9am and 5pm Eastern Standard Time for further instructions.
Accommodations: Please see the main conference website for information about accommodations.
Please indicate the event that you are most likely to attend on each morning and afternoon. You will be free to move
between events at the same time; this indication is to assist us in planning spaces for events.
The Workshops on Sunday 5 July are free for anyone participating in some aspect of the Conference. The Doctoral
Symposium is only open to Ph.D students.
Sunday July 5
Morning
Afternoon
q
q
q
q
q
q
q
q
q
q
Pharo Workshop
RIOT Workshop
MASPEGHI Workshop
COP Workshop
Doctoral Symposium
RIOT Workshop
MASPEGHI Workshop
COP Workshop
Doctoral Symposium
Morning
Afternoon
q
q
q
q
q
q
q
q
q
q
q
q
STOP Workshop
JSTools Workshop
PLAS Workshop
ICOOOLPS Workshop
NetPL Workshop
July 5 - 10, 2015
Prague, Czech Republic
Advance Registration Form
(page 2 of 2)
Pharo Workshop
Monday July 6
Curry On Conference
ECOOP 2015
Curry On Conference
STOP Workshop
JSTools Workshop
PLAS Workshop
ICOOOLPS Workshop
NetPL Workshop
Tuesday July 7
Morning
Afternoon
q
q
q
q
q
q
q
q
q
q
q
q
DSLDI Workshop
PLE Workshop
Truffle Workshop
DSLDI Workshop
Wednesday July 8
Morning
Afternoon
q
q
q
q
ECOOP Conference
Summer School
ECOOP Conference
Thursday July 9
Morning
Afternoon
q
q
q
q
ECOOP Conference
Summer School
ECOOP Conference
Friday July 10
Morning
Afternoon
q
q
q
q
ECOOP Conference
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What Your Registration Includes:
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Summer School
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Summer School
EC
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Summer School
Ta
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Truffle Workshop
FTjJP Workshop
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PLE Workshop
ML4PL Workshop
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ML4PL Workshop
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Curry On Conference
*
****
Curry On
** ****
Regular
ECOOP Full
only
*
*****
Curry On Full
*******
One Day Pass (Mon, Tue)
**
One Day Pass (Wed, Thu, Fri)
***
ECOOP
Regular
only
Banquet tickets may be purchased onsite.
ECOOP Print Proceedings must be ordered prior to 15 June 2015. They will not be for sale onsite.
The Sunday Workshops are fee to any registered attendee.
ecoop15.p2.v6.0628