ECRYPT STVL – Workshop on Symmetric Key Encryption

May 26 - 27, 2005
Scandinavian Congress Center Aarhus - Denmark

REGISTRATION FORM

Surname

First name

Title

Institution/company

Department

Mailing Address

Postal code

City

Country

E-mail

Country code + Phone

Country code + Fax

REGISTRATION FEES IN DKK

Delegate

Paid before April 1, 2005 (DKK 350)

Paid after April 1, 2005 (DKK 450)

DKK

MEALS

No. of lunches

May 26

Lunch (one sandwich and one soft drink) (DKK 65)

DKK

Vegetarian

Total

DKK

PAYMENT

ACCOMMODATION

If you are attending Eurocrypt 2005, you can arrange for an extra night via your Eurocrypt hotel reservation form.

I have arranged my own accommodation

I am not attending EuroCrypt conference and wish to be contacted by KongresKompagniet concerning hotel reservation

The registration form is sent to:

KongresKompagniet
Nordhavnsgade 1
DK-8000 Århus C
Phone: +45 8629 6960
Fax: +45 8629 6980
E-mail: ecrypt@kongreskompagniet.dk