SETA04 REGISTRATION FORM

PLEASE MAIL, EMAIL OR FAX TO:       Professor Jun Heo

Dept. of Electronics Engineering, Konkuk University               Tel:+82-2-450-4198

1 Hwayang-dong, Gwangjin-gu                                Fax:+82-2-3437-5235

Seoul, 143-701, Korea                                       E-mail: junheo@konkuk.ac.kr

PLEASE PRINT:

Full Name: Prof/Dr/Mr/Ms                                                                                         Sex (M or F):           

Affiliation:                                                                                                                                                

Address:                                                                                                                                                 

City/State/Zip/Country:                                                                                                                              

Phone Number:                                                                 Fax Number:                                                    

E-mail:                                                                                                                                                                                              

REGISTRATION FEES (Unit: US Dollar / Korea Won)

 

On/Before Sept. 10, 2004

After Sept. 10, 2004

 

Regular

US$ 450       Won 540,000

US$500       Won 600,000

 

Student

US$ 250       Won 300,000

US$ 300       Won 360,000

 

Extra Special Dinner and Performance Ticket   (No. of Tickets:      )

US$75

Won 87,000

Extra Banquet Ticket                                     (No. of Tickets:      )

US$40

Won 48,000

Extra LNCS Proceeding                          (No. of Proceedings:      )

US$60

Won 72,000

If you prefer vegetarian menu, circle all your preferences (poultry, fish, egg, vegetable only)

If the extra ticket(s) are for vegetarian(s), circle the preferences (poultry, fish, egg, vegetable only)

* Regular: Pre-Proceeding, LNCS Proceeding, 4 Lunches, 1 Dinner, Special Dinner and Performance, Banquet.

* Student: Same for the regular registration except for Special Dinner and Performance.

* LNCS proceeding will be mailed to those who have registered or purchased extra copies after conference.

TOTAL ENCLOSED: US $                                                     or Won                                              

Credit Card Transaction

Card Type:  Visa     Master      Expiration Date (Month/Year):                   

Name on Card:                                                      Card Number:                                                       

Card holders signature:                                                                                                                    

Money Transfer (to a bank in Korea)

Name of Bank: Chohung Bank, Account Holders Name: Jun Heo, Account Number : 671-06-097800

Bank Address: Konkuk University Branch, Hwayang-dong 1, Kwangjin-gu, Seoul, Korea

BIC Code: CHOHKRSE

TOUR INFORMATION: For more detailed tour information, please visit SETA04 homepage.

Check all tour programs you want and write the number of participants

October 25, 2004, Demilitarized Zone (D.M.Z) Tour(US$52):                No. of Participants:                  

October 26, 2004, Royal Relics Morning Tour(US$40):                         No. of Participants:                  

October 27, 2004, Modern Seoul Tour(US$89)                                     No. of Participants:                 

October 28, 2004, Seoul City Tour for All[Secret Garden](US$20)       No. of Participants: