Registration for
UbiCrypt Summer School SYSTEMS SECURITY

Jul 20 - Jul 24 2015, Ruhr-University Bochum
http://www.ubicrypt.hgi.rub.de/veranstaltungen/summerschool2015/index.html.de

(*required)
Please select your registration type:

Bank Transfer

Recipient:Eurobits e.V., Universitätsstr. 150, 44801 Bochum
Bank Institut:Sparkasse Bochum
Bank Adress:Querenburger Höhe 224, 44801 Bochum, Germany
Account Number:33408113
Bank Code:43050001
BIC:WELADED1BOC
IBAN:DE40 4305 0001 0033 4081 13
Reason for transfer:Syssec15 + Name

Credit Card (Master Card or Visa Card)

A service fee of 18,50 € will be charged in addition to the conference fee.

After submitting your registration information, print this registration form (or the form attached to the email you'll receive) and fill in your credit card information and sign it.

Fax the completed form to +49 (0) 234 32 14430.