EUROMEDIA 2006 Fax Reply Form

2006

Fax Reply Form

(or use the electronic form)

First Name:

Surname:

Occupation and/or Title:

Affiliation:

Mailing Address:

Zipcode:

City:

Country:

Telephone:

Fax:

E-mail:

Yes, I intend to attend the 2006 Euromedia Conference:
O Presenting a paper (by submitting an extended abstract or a full paper)
O Presenting a short paper (by submitting a 2-3 page short paper proposal)
O Participating in the industrial program or by organizing a vendor session
O Proposing a panel discussion (please mention the names of the intended panelists)
O Contributing to the exhibition
O Without presenting a paper
O Taking part a workshop

The provisional title of my paper / exhibited tool is:

With the following highlights:

The paper belongs to the category (please tick one)

WEBTEC: [ ] Internet and Web Based Development [ ] Visual Programming Languages [ ] 3-D Web Programs [ ] Video and Audio Streaming on the Web [ ] AI on the Web [ ] Software for Web-based Business Applications	MEDIATEC [ ] Multimedia Techniques and Telecommunications [ ] Multimedia Authoring Tools and Software [ ] Multimedia Building Blocks	COMTEC [ ] Telecommunication Technologies [ ] Networks [ ] Network Security [ ] Mobile Communications [ ] TV Technology [ ] QoS
APTEC [ ] Telematics Consumer Applications [ ] Cooperative Telematics Operations [ ] Tele-Education [ ] Integrated Enterprise Software and Groupware [ ] Tele-Medicine	ETEC [ ] Tele-X [ ] E-Commerce [ ] Security [ ] medical Information Systems [ ] Challenges of Tomorrow and Beyond
[ ] Workshop

The paper will be submitted as a:
[ ] Full Paper (5-8 pages) [ ] Extended abstract (3-4 pages) [ ] Short Paper (2-3 pages)
Please note that only full papers and extended abstracts can be accepted to be worked out as regular papers in the proceedings. Only a small percentage of full paper submissions will be considered for an extended, 8 page paper. Submissions shorter than one full page, will not be considered at all.

Other colleague(s) interested in the topics of the conference is/are:

Name:

Address:

Name:

Address:

If you would like to receive more information about EUROSIS-ETI and its activities, please tick the following box:
O YES, I would like to know more about EUROSIS-ETI.
O NO, please remove me from your database.

Please send or fax this form immediately to:
Philippe Geril, EUROSIS-ETI,
The European Simulation Office
Ghent University,
Faculty of Industrial Management
Technologiepark 903
B-9052 Ghen-Zwijnaarde, Belgium
Phone: +32-9-264.55.09, Fax: +32-9-264.58.25