INTERNATIONAL CONFERENCE ON MARKETING - 2014
25 - 26 February, Colombo, Sri Lanka.
REGISTRATION FORM
Please complete the form and send by e-mail or fax to the Conference Secretariat. If you have any questions, please do not hesitate to contact Mr.Isanka: .
Hotline: +94 715 589 870 Tel: +94 112 848 654 Fax: +94 112 597 771 E-mail:
Personal information (Please type or print clearly in CAPITAL LETTERS)
*all fields marked with a star are required for registration
*Title: □ Mr. □ Mrs. □ Ms. □ Prof. □ Dr. □ Others (Please specify :______)
*Function at conference:
□Delegate □Student □Invited speaker □Committee member □Applicant for travel bursary
*First (Given) name:
*Middle name:
*Last (Family)name:
*Name for certificate
Passport number: * Nationality :
*Organization:
*Tel: (country code - area code - tel no.) *Fax: (country code - area code - tel no.)
*E-mail address:
*Special dietary requirements: (please tick your choices)
□ None □ Vegetarian □No beef □No pork □No sea food □Other:
Sri Lankan Participants / Early BirdRs. / Late Reg.
Rs. / Virtual participants LKR
Delegates / 18,000 / 22,000 / 10,000
*Students / 15,000 / 18,000 / 8,000
Co-authors / Spouse / 15,000 / 18,000
*Registration fee:
Conference Fee:Asian Participants / Early Bird
US$ / Late Reg.
US$ / Virtual participants US$ / International Participants / Early Bird
US$ / Late Reg.
US$ / Virtual participants US$
Delegates / 425 / 470 / 200 / Delegates / 470 / 550 / 200
*Students / 360 / 400 / 175 / *Students / 400 / 470 / 175
Co-authors / Spouse / 360 / 400 / Co-authors / Spouse / 400 / 470
*Please provide the letter from university and a copy of the university ID
Payment Details:
Cancellation policy: Please refer http://www.marketingconferences.co/Registration.html By sending in this registration form, I acknowledge that I commit myself to the immediate payment of the full conference fee. I have taken notice of the cancellation terms on this form.
Date: ___/___/______Signature:______