Africacrypt Morocco 2019

Fisrt name

Last name

E-mail address

Paper number (non-author participants, enter 99)

Affiliation (for display on badge)

Address

City

Postal/Zip code

Country

Telephone

Fax

Payment category (EB = Early Bird Registration; NR = Normal Registration)

Do you require Vegetarian meals?

Yes

Do you require a Visa Support Letter?

Yes

How do you wish to pay?

Wire transfer

On-line Credit Card payment (extra 4%)

Do you need a receipt for your payment?

Yes