Symposium Registration Form

Section A: Participant Information  

Title:  Prof. / Dr. / Mr. / Ms.  

First (given) Names:                                                            Last (family/surname) Name:

Dept. / Affiliation:

Mailing Address:

 

Country:                                                                  Postal Code:

 Phone:                                                                    Fax:                                                       E-mail:

 

Section B: Registration Fees of Technical Session, Tutorials and Exhibitor

Please check your choice and specify the total amount.

                                                                                                                              (Unit: Korean Won)

 

  Tutorials Only  

Technical Sessions Only

 Tutorials & Technical Sessions

  Extra Banquet
Ticket

Until Aug. 21

On-site

Until Aug. 21

On-site

Until Aug. 21 

On-site

  Regular

   150,000   won

  200,000 won

  200,000          won

  250,000        won

  300,000          won

  350,000         won

  50,000          won

  Student

 not applicable

50,000 won

 not applicable

 not applicable

  Exhibitor

 100,000 won: includes lunches but excludes Tutorials &         Technical sessions

  300,000 won:  includes Tutorials & Technical          sessions, lunches and Banquet

  Proceed-ings 

  50,000 won: Tutorial        Proceedings only

  50,000 won: Technical         Session Proceedings only

  80,000 won: Both Tutorials & Technical  Session         Proceedings

Section C: Payment & Remittance

Bank Transfer

 

I will remit / have remitted the registration fee on (date) ,                            ,  1999 by bank transfer from my

bank                                                               to the following:

Account No. : 624-24-0136-360

Account Holder : Kim Young Tak

Name of Bank : Kook Min Bank, Kyung San Branch, Kyungpook, Korea

(Please attach a copy of the remittance statement to this form.)

Credit Card

 

Please charge to my  VISA  MasterCard

(In the case of Korean participant, only BC-VISA and BC-MasterCard are accepted)

Card No.                                                                             Total amount :                           won

Name :                                                                                Expiration Date :                                 

Signature :                                                                          Date :                              , 1999

(Secretariat use only Approval No. :                                                                 )

On-Site

I will pay the registration fee at the symposium.

  

Section D: General Remarks

  • The affiliation and address must be up-to-date. If there are any changes after registration, it must be informed to the symposium registration desk. The address you write on this form will be used for the Participant List.
  • Each participant must complete a separate registration form. Feel free to make copies of this form.
  • Pre-registration is effective only when the completely written registration form is returned to the APNOMSĄŻ99 Finance Chair by August 21, 1999.
  • All bank service charges using the payment of the registration fee must be paid by the applicants.
  • Symposium registration fee for regular participants includes technical session materials (Proceedings) and admissions to technical sessions, banquet, three lunches and coffee breaks.
  • Symposium registration fee for students includes lunches, but does not include admission to the banquet.
  • Symposium registration fee for exhibitors includes lunches and banquet, but does not include admission to the Tutorials and Technical sessions.
  • All presenters at the symposium must register by August 7, 1999 in order to ensure publication in the proceedings.
  • REFUNDING POLICY: There is 30,000 won cancellation fee for Regular Registration. APNOMS'99 must receive a written cancellation notice no later than August 28, 1999 to remit the curtailed refund. Refund will not be made after August 28, 1999.

 

Please send the Symposium Registration Form by Fax to: