RECON 2011 TRAININGS - REGISTRATION FORM -------------------------------------------------------------------------------- Company/Organisation: Address: Country: Billing Address: Billing contact email: Fax: Phone: Payment Method: [ ] Paypal [ ] Paypal Credit Card [ ] Certified Cheque [ ] Bank Transfer -------------------------------------------------------------------------------- Training pricing: - before 30 April 2010: 2709 CAD$ 2400$ + tax = 2400$ + 120$ (5% GST) + 189 (7.5% QST) = 2709 - after 30 April 2010: 3386.25 CAD$ 3000$ + tax = 3000$ + 150$ (5% GST) + 236.25 (7.5% QST) = 3386.25 Conference pricing: - March 2010: 450 CAD$ 450$ + 22.50 (5% GST) + 35.44 (7.5% QST) = 507.94 -------------------------------------------------------------------------------- First Name: Last Name: Email: I would like to register one seat at the training number: [ ] 1, [ ] 2, [ ] 3, [ ] 4 Training 1: Binary Literacy: Static Reverse Engineering by Rolf Rolles Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte Training 3: Windows Internals for Reverse Engineers by Alex Ionescu Training 4: Coding Unpackers for fun and profit: TitanEngine Training by Nicolas Brulez & Tomislav Pericin 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, [ ] 4 Training 1: Binary Literacy: Static Reverse Engineering by Rolf Rolles Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte Training 3: Windows Internals for Reverse Engineers by Alex Ionescu Training 4: Coding Unpackers for fun and profit: TitanEngine Training by Nicolas Brulez & Tomislav Pericin 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, [ ] 4 Training 1: Binary Literacy: Static Reverse Engineering by Rolf Rolles Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte Training 3: Windows Internals for Reverse Engineers by Alex Ionescu Training 4: Coding Unpackers for fun and profit: TitanEngine Training by Nicolas Brulez & Tomislav Pericin 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, [ ] 4 Training 1: Binary Literacy: Static Reverse Engineering by Rolf Rolles Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte Training 3: Windows Internals for Reverse Engineers by Alex Ionescu Training 4: Coding Unpackers for fun and profit: TitanEngine Training by Nicolas Brulez & Tomislav Pericin 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, [ ] 4 Training 1: Binary Literacy: Static Reverse Engineering by Rolf Rolles Training 2: Binary vulnerabilities and Exploit Writing by Gerardo Richarte Training 3: Windows Internals for Reverse Engineers by Alex Ionescu Training 4: Coding Unpackers for fun and profit: TitanEngine Training by Nicolas Brulez & Tomislav Pericin I would like to register one seat at the RECon conference: [ ] YES [ ] NO --------------------------------------------------------------------------------