<b>Registration Form</b>

Fundamentals of Wireless Communication

Prof. David Tse
University of California at Berkeley, USA

Eindhoven, The Netherlands

November 30 - December 1, 2005


Deadline for registration is November 18, 2005.
!!! As the course is fully booked, registration is no longer possible !!!

First name
Last name
Gender
Male Female
University/Company
Department
Group
Position
Supervisor (if applicable)
Full postal address
Telephone number
Telefax number
E-mail address
Dietary wishes
.
I would like to order a copy of the text book
yes no
The text book D. Tse and P. Viswanath, Fundamentals of Wireless Communication, Cambridge University Press, 2005 can be ordered at the reduced price of EUR 50,-- (incl. VAT). The books will be distributed by Bruna on the first course date and can be paid for in cash, by switch card or by credit card (Euro Mastercard and Visa).

Participation costs: EUR 150,- (standard fee)
EUR 50,- (IEEE members)
IEEE membership number:
EUR 0,- (EIDMA members and participants from Philips and TU Eindhoven)

Prices include attendance fee, coffee breaks and lunches.
Please use a direct bank transfer only to pay the amount due.
Do not use cheques.

Bank data:
Name bankRabobank
Adress of the bankKronehoefstraat 87
5612 HL Eindhoven
The Netherlands
Account number15.82.49.658
of theTechnische Universiteit Eindhoven
Den Dolech 2
5612 AZ Eindhoven
The Netherlands
BIC / Swift code
Bank Identification Code
RABONL2U
IBAN
International Bank Account Number
NL42RABO0158249658
Please do not forget to
mention our reference
:
Ref.: 1000477 (Course D. Tse)


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