The 15th ICCTA 2005 Registration Form

 61 - 3 September
SHERATON HOTEL  -  Alexandria – Egypt

 REGISTRATION

 
     Personal Information
        Name
        Profession
        Occupation
        Postal Address
        City
        Country
        Home Phone
        Work Phone
        Mobile Phone
        Fax
        Email
       
     Hotel Accommodation Special Rate
 

Single Room

300 L.E.

Double Room

330 L.E.

Above rates includes taxes, service charge & buffet breakfast

 

     Estimated time of arrival

Date

     Departure time

Date

 
     Conference Registration Fees
 
          CSS members

400 L.E.

          Non CSS members

500 L.E.

          Non Egyptians

300 U.S.

 
     Method of Payment

Certified/ Guaranteed Payment cheque, payable to Computer Scientific Society

  • Bank Account

          Please transfer the payment to the following bank account :

                      Computer Science Society account

          Banque Du Caire, Alexandria

          Academy Abu Qir Branch

          Account # : 225/101

          Alex., Egypt

  • Please send this form and a receipt by fax, Addressed to:

          Ch. Eng. M.E. Morsy

          AASTMT, Miamy. Alex. Egypt

          P.O.Box 1029 Alexandria, Egypt

          Tel: 0123116086 – Fax: (00203) 4242222

          

          Signature…………………….   Date: …………………………….