Registration Form First IEEE Seminar on Future Directions in Information Theory and Communications and Second African Winter School on Information Theory and Communications 16-21 August 2015 Complete form and email to telecoms@uj.ac.za with subject “Registration” Registration type: Surname: First name: Affiliation: Cell phone #: Work phone #: Postal Address: (please select) IEEE number: Title: Nationality: Email address: Fax #: Postal Code: Diet (please select) If other please state: Allergies (specify) Disabilities (specify) Registration fees are ZAR 780 for students, ZAR 6500 for IEEE members and ZAR 7800 for non-IEEE members. Fees must be paid by 1 July 2015. Fee includes daily refreshments, lunches, conference banquet, welcome cocktail, and one excursion into the Kruger National Park. Additional tickets for certain events will be available for spouses/family. Included Please indicate which of the following will be attended: 1: Welcome Cocktail (evening, 16 August) 2: One excursion to Kruger National Park (morning, 19 August) 3: Banquet (evening, 20 August) 4: Lunch (17 August) 5: Lunch (18 August) 6: Lunch (19 August) 7: Lunch (20 August) 8: Lunch (21 August) Extra Please indicate if additional tickets are required and how many: 1: Welcome Cocktail (evening, 16 August) 2: One excursion to Kruger National Park (morning, 19 August) 3: Banquet (evening, 20 August) @ ZAR 150 @ ZAR 400 @ ZAR 200 Invoice Details (person who will be responsible for payment) Contact Person Telephone number Fax Number Email address For Office Use Only Paper Title: Invoice Number: Payment Received: Qty: 0 Qty: 0 Qty: 0 Registration Fees Registration fees include daily refreshments, lunches, conference banquet, welcome cocktail, and one excursion into the Kruger National Park. Additional tickets for certain events will be available for spouses/family. The fees are: Student* IEEE-member Non-IEEE member ZAR 780 ZAR 6500 ZAR 7800 The registration deadline for authors of papers submitted to the Winter School is 1 July 2015. Conference Hotel We have a guaranteed block of rooms with a special rate at the Protea Hotel Kruger Gate, Skukuza, Kruger National Park. Participants are kindly advised to book their rooms as soon as possible due to the presence of several events in the area and to avoid any disappointment. See our website for details: http://telecoms.uj.ac.za/ieee-2015-kruger/ Excursions to Kruger National Park One excursion into the Kruger National Park on the morning of 19 August is included in the registration for delegates. Delegates are welcome to book additional excursions at, their own cost, with the hotel. Payment Once the registration form has been submitted, an invoice will be generated and sent back to you, with details on how to proceed with payment. * The organizers would like to thank the IEEE Information Theory Society for their financial support, and enabling us to offer registration to students at a significantly reduced rate.