Registration 2017E-Vote-ID 2017 Registration Step 1 of 520%I want to register for participation in the following E-Vote-ID 2017 events:*Main Conference (480,00 EUR)PhD Colloquium (150,00 EUR)Main Conference and PhD Colloquium (570,00 EUR)OtherPrices include 20% VAT.Please indicate in which social activities you intend to participate (included in conference fee for one participant): Welcome reception (Tuesday, 24 October 2017) Reception in Bregenz (Wednesday, 25 October 2017) Conference dinner "Cheese Road" (Thursday, 26 October 2017)Do you have any dietary requests? If yes, please note here.The photos, names and affiliations as well as videos of the conference and its participants will be made available to the public by E-Voting.CC GmbH on its website as well as published in the media to promote E-Vote-ID conferences. Prior to the conference this consent can be withdrawn in written form by e-mail or by post. For a binding registration the activation of one of the checkboxes is a prerequisite. We kindly ask you for your consent to the publication of photographs and videos.*Yes, I consent that with the binding registration I give E-Voting.CC GmbH the permission to take photographs and videos of me.No, I do not consent. Name* First Last Affiliation*Job Title*Phone*Please indicate a mobile phone number where we can reach you. Do you want to reserve tickets for accompanying person(s) participating in the social programme?*YesNoCompanion Ticket(s) Price: 0,00 € Quantity: For how many accompanying person(s) do you want to buy tickets? The price depends on the number of accompanying guests and the events attended. The actual sum is updated in the total on the last page.Please indicate for which social activities you want to buy tickets for the accompanying persons. Welcome reception (Tuesday, 24 October 2017) Reception in Bregenz (Wednesday, 25 October 2017) Conference dinner "Cheese Road" (Thursday, 26 October 2017) Please enter your e-mail address where we shall send the registration confirmation and invoice to:* Enter Email Confirm Email Please fill in the Name of the Recipient of the Invoice:The name entered here will be shown as the recipient of the invoice. This is the place where you would want to mention your university / company.Please note that due to Austrian VAT regulations we are not in the position to issue invoices applying the EU reverse charge mechanism. For further details please contact us via e-mail at firstname.lastname@example.orgPlease fill in your address information (Street, City, ZIP, Country)* Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Here we provide you with an overview based on your your choices on the previous page:How do you want to pay?*Bank transfer using SEPA transfer (all costs to be born by payee)Credit card payment (Mastercard / Visa using Paypal +18,00 EUR)Bank Transfer Fee Price: 10,00 € For bank transfers from Switzerland we have to charge a 10,00 EUR administration fee.Total (incl. 20% VAT) 0,00 € Please transfer the total without deductions within seven days to the following bank account: Bank: Raiffeisenbank Vorderland Address: Montfortstrasse 9, A-6832 Sulz, Austria IBAN Account Number: AT59 3747 5000 0010 1238 SWIFT/BIC: RVVGAT2B475 Use as Reference: Invoice number and "Your Name" (Replace "Your Name" with the name(s) of the participants)Unique IDCancellation PolicyA cancellation has to be made in written by e-mail or post. If a registration is cancelled before 1 October 2017, 50 percent of the total will be refunded. No refund will be made after this date.