Travel e22 - SECURE ONLINE PAYMENT |
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Full name of the person or company making the payment: |
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| 2. |
Hotel |
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| 3. |
Conference: |
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IEEE SMC 2010
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| 4. |
Paper Code (please leave it empty if not applicable) |
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| 5. |
E-Mail Address: |
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| 6. |
Phone: |
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| 7. |
Services Ordered with this payment :
e.g.: hotel name, tour name, dates, number of rooms, type of rooms,
registration code, etc.
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Max. 60 characters
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Please check here if your payment is for registration only: |
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Registration only (please leave it empty if it does not apply)
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| 8. |
Total Amount to be paid in EUR |
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Please confirm your information on the next page
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