CICN2017 - Pickup Request Form

CICN 2017 - Presentation & Airport Pickup/Return Request Form

(Please fill all information fields accurately)

Name *:

Middle Name:

Surname *:

Mobile Phone No.(Please also give international country code) *:

00--

Email: *

University/Institution:

Please indicate if you will be attending and presenting your paper:

Yes

Please continue filling the form below.

Please submit at this point to inform us about your attendance.

IEEE Member

Non-Member / Academician

Student

Other (Please specify)

If you have a spouse visiting Cyprus/attending conference with you please select number of additional tickets:

Date of Arrival (You can select a date between 14th to 17th of September):

Date of Departure (You can select a date between 16th to 18th of September):

Acapulco Resort & Convention & SPA

Pia Bella Hotel

The Olive Tree Hotel

Other (Please note that transport is only available to the conference hotels)

(Please fill up the below information correctly)

Arrival Flight Number:

Departure Flight Number:

Additional Notes: