IWSSIP 2006 Registration Form

REGISTRATION DATA	
Family name:	
First name:	
Title:	
Institution:	
Mail address	
Country:	
City:	
Zip code:	
Phone:	
Fax:	
e-mail address:	
IEEE membership number:	
EURASIP membership number:	

	

	

	

	

	

BANK TRANSFER PAYMENT (IN EUR)	
Bank:	Kereskedelmi és Hitelbank
H-1051 Budapest, Vigadó tér 1.	
Swift code:	OKHBHUHB	
Account:	HU75 10408007 20061519 48840000	
User:	Dr Fazekas Kálmán
H-1113 Budapest, Vincellér u. 47	
To insure correct payment of your registration fee, please fill in the followings in the bank transfer “Transaction Description” area:	
1.	IWSSIP-06	
2.	Paper ID, which you received in the confirmation e-mail	
3.	Participant’s name	
EXAMPLE:	
IWSSIP-06 1034 James Smith	

MUST BE FILLED 	
Your Account Number	
User

IN BECAUSE OF IDENTIFICATION