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Registration Form

2Nd Annual International Conference on Materials Science, Metal & Manufacturing (m3 2012) Date: 19-20 November 2012, Venue: Bali, Indonesia

Please fill in the form, sign by hand, and send it via one of the following:

Fax: +65 6327 0162 / E-mail: info@m3-conference.org

Title (Student/Prof/Dr): _____ First Name: _______Last Name: _________

Paper ID: ____ Paper Title: ______________________ (for authors only)

Institution: __________________________________________________

Street Address: _______________________________________________

City: ___________ State: ________ Country: ________ Zip: __________

Phone: _______________ Fax: ____________ Email: _________________________ Dietary Requirements: ______________ Attending conference: Yes / No

Conference Registration Fees The full registration fee includes: Keynote & invited speakers session(s) (if any), concurrent sessions of Technical Program, Conference Proceedings, lunch, morning and afternoon refreshment breaks and GSTF Polo T Shirt.

Become a GSTF Associate Member (+ SGD 80)

Become a GSTF Student Member (+ SGD 35) (Members will avail of the subsidized fees as indicated on the next page)

Regular Papers

Tick the category

Category

Registration Fee (SGD)

Early-bird registration - Author (GSTF Member)

950

Early-bird registration - Author (Student)

950

Early-bird registration - Author (Non Member)

990

Additional Authors

580/pax

Additional Papers

580/paper

Extra Pages (up to 4 extra pages)

80/page

Late registration - Author (GSTF Member)

1200

Late registration - Author (Student)

1200

Late registration - Author (Non Member)

1250

Non-Author Participant

720

Non-Author Participant + Proceedings

820

Posters & Extended Abstracts

Tick the category

Category

Registration Fee (SGD)

Early-bird registration - Author (GSTF Member)

700

Early-bird registration - Author (Student)

700

Early-bird registration - Author (Non Member)

750

Additional Authors

400/pax

Additional Posters/EAs

400/paper

Late registration - Author (GSTF Member)

900

Late registration - Author (Student)

900

Late registration - Author (Non Member)

950

Non-Author Participant

720

Non-Author Participant + Proceedings

820

Note: - In order to avail of the student rates, a formal letter from their University is required. - If the Non-Author Participant (Non Delegate) requests for a copy of the proceeding, there will be an additional fee of $100 charge. - If the registered participant is unable to attend, the registration may be transferred to another presenter. S/he must inform the Conference Secretariat a month before the conference. No refunds will be issued.

Payment methods When making payment, please indicate the paper ID and title in the payment slip.

1. Wire transfer (TT)

Account Name: ‘Global Science and Technology Forum Pte Ltd’  Bank Address: UOB, Anson Road, #01-01 International Plaza, Singapore 079903

Account Number: 057-374-304-35-6 SWIFT CODE: UOVBSGSG * For wire transfer, please add SGD 45.00 for local/overseas bank charges.

2. Credit/Debit Cards

Payment can be made online via PayPal. Please follow the link provided on the conference website. Please email the Conference Secretariat your PayPal payment slip along with the registration form.

*All PayPal transactions will include a 5% PayPal administrative fee.

Author’s Signature and date:

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