Address: Unit B on 15th Floor Eu Yan Sang Tower, Nos.11/15, Chatham Road South, Kowloon, Hong Kong, Email:

Tel: +852-3500-0005

Registration form of ICMBS 2017

April 7-9, 2017, in Jeju Island, South Korea

www.icmbs.org

ICMBS 2017 will be held during April 7-9, 2017, in Jeju Island, South Korea. Please note that it is essential for all participants to send a completed Registration Form to before March 10, 2017.

1.  PERSONAL INFORMATION

Participant’s Name:
(Very important! The certificate of participation will be under this name, One registration invites one listener to come)
Participant’s Affiliation:
Position: Prof. □ Assoc. Prof. □ Assist. Prof. □Lecturer □ Ph. D □ Master □ Mr./Miss □ / A clear photo of 2 inchs
One Day Tour in Jeju Island on April 9, 2017 / Yes □ No □
The Attendee’s Name:
City: / State: / Country: / Postcode:
Telephone: / Fax: / Email:
Special Needs or Dietary Requirements: □Normal □Vegetarian □Halal Food □Others (option) (Please choose √)
Student ID Number of your University:
IEDRC Member Number:

2.  REGISTRATION FEE

Items / Registration Fee / Please fill √
Listeners / 300USD
One-Day Tour / 80USD

3.  PAYMENT INFORMATION

l  Method I

Credit Card Payment Information

PAYING METHOD (No handling fees)

http://meeting.yizhifubj.com.cn/web/main.action?meetingId=188

Please make sure you have VISA or Mastered Card Credit Card before clicking this link, and you should also calculate the right amount.

Please fill in the E-mail and Confirmation Number after the payment.

E-mail: / Order Number:

l  Method II

Bank Name: Maybank, Singapore

Bank Address: 131 Jurong East Street 13 Singapore 600131

Name of Account: ZHOU JIANHONG

Beneficiary’s Address: #07-42, BLK 708, St. 71, Jurong West, Singapore 640708

Account Number: 1-419-05-7582-2

BIC/SWIFT Code: MBBESGSG

Please fill in the following form for us to check your payment.

If pay by method 2, please pay 30 USD more, for the handling fees.
Remitter’s A/C No.
Remitter’s Name:
Remit Date:
Remit Amount:

NOTE:

1.  Payment by Method 1 is priority to accept.

2.  Bank service charges should be paid by the payer.

3.  If pay by method 2, please pay 30 USD more for the handling fee

ICMBS 2017 Organizing Committee

Jeju Island, South Korea

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