The 10th International Workshop
on Information Security Applications
Busan, Korea, August 25 – 27, 2009
Please check: Speaker ( General Participant Full-time Student)
(Title of paper : )
non-Speaker ( General Participant Full-time Student)
Title: Dr. Mr. Ms.
First Name: Last Name:
Before Aug. 7 After Aug. 7
General Participant $500 (\600,000) $600 (\700,000) $(\)
Full-time Student $270(\330,000) $350 (\420,000) $(\)
Banquet : extra banquet ticket $80 (\96,000) per person X (# of persons) = $(\)
LNCS proceedings : $80 (\96,000) per copy X (# of copies) = $(\)
※All registrations do not include LNCS proceedings.
Total Amount $(\)
Registration includes proceedings CD, refreshments during the conference, and banquet.
Student registration includes proceedings CD and refreshments ONLY.
Please charge my VISA MASTER
Cardholders name Card number (CVC ) Expiration date
Please find enclosed a copy of the bank/wire transfer payment to WISA2009, Kookmin Bank, Yeoksam Station
Branch, for account # 754-01-0008-146 ( depositor : KIISC).
PLEASE MAIL OR FAX TO: Tel: +82-2-564-9333
Korea Institute of Information Security & Cryptology Fax: +82-2-564-9226
Seongji Heights 3-Cha bldg., Room 909 E-mail : firstname.lastname@example.org
642-6 Yeoksam 1-dong,Gangnam gu, Seoul 135-717, Korea http://www.wisa.or.kr
Registration will be completed only upon receipt of payment.
No refunds after Aug. 7, 2009. Substitutes are permitted. $60 ( 72,000) cancellation fee for cancellations received before Aug. 7, 2009