RECON 2008 TRAININGS - REGISTRATION FORM
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Company/Organisation:
Address:
Country:

Billing Address:
Billing contact email:
Fax:
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Payment Method:

[ ] Paypal
[ ] Paypal Credit Card
[ ] Certified Cheque
[ ] Bank Transfer

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Training pricing:
	- before 25 April 2008: 2709 CAD$
		2400$ + tax = 2400$ + 120$ (5% GST) + 189 (7.5% QST) = 2709
	- after  25 April 2008: 3386.25 CAD$
		3000$ + tax = 3000$ + 150$ (5% GST) + 236.25 (7.5% QST) = 3386.25

Conference pricing:
	- before 25 April 2008: 395 CAD$
		350$ + 17.5 (5% GST) + 27.5625 (7.5% QST) = 395
	- after 25 April  2008: 564 CAD$
		500$ + 25 (5% GST) + 39.375 (7.5% QST) = 564

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First Name:
Last Name:
Email:

I would like to register one seat at the training number: [ ] 1, [ ] 2, [ ] 3
	
      Training 1: Advanced Reverse Engineering training by Nicolas Brulez
      Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte
      Training 3: Binary Literacy: Static Reverse Engineering by Rolf Rolles

I would like to register one seat at the RECon conference: [ ] YES [ ] NO

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First Name:
Last Name:
Email:

I would like to register one seat at the training number: [ ] 1, [ ] 2, [ ] 3

      Training 1: Advanced Reverse Engineering training by Nicolas Brulez
      Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte
      Training 3: Binary Literacy: Static Reverse Engineering by Rolf Rolles

I would like to register one seat at the RECon conference: [ ] YES [ ] NO	

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First Name:
Last Name:
Email:

I would like to register one seat at the training number: [ ] 1, [ ] 2, [ ] 3

      Training 1: Advanced Reverse Engineering training by Nicolas Brulez
      Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte
      Training 3: Binary Literacy: Static Reverse Engineering by Rolf Rolles

I would like to register one seat at the RECon conference: [ ] YES [ ] NO	

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
First Name:
Last Name:
Email:

I would like to register one seat at the training number: [ ] 1, [ ] 2, [ ] 3

	Training 1: Advanced Reverse Engineering training by Nicolas Brulez
	Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte
	Training 3: Binary Literacy: Static Reverse Engineering by Rolf Rolles

I would like to register one seat at the RECon conference: [ ] YES [ ] NO	

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