Registration eHealth360° 2016

Endorsed by

Budapest, Hungary

June 14–16, 2016

Registrant details

*First name:
*Last name:
*Affiliation:
*Email:
	Please make sure that the email address entered here is the same as the email address used in the Initial Submission
*Profession:

	If you want to be notified of EAI activities related to your areas of interest, you may fill out the information below Security and Safety Internet and Mobility Green World Wellbeing ICT for Development

	I am a full-time student (Registering with a student fee will not allow you to register and upload Camera-ready submissions.)

Bill to

Please select one of the two registrant types:

Individual - if you are registering to this conference as an Individual, please select this option and fill in the required fields. In case the conference fee is paid for you by a company, please select the "Company" option below
Company - if you are registering to this conference as a Company/Organization/University or the conference fee is paid for you by a company, please select this option and fill in the billing information of the company

IndividualCompany