Está en la página 1de 1

The 7th International Conference on Asian and Pacific Coasts

September 24-26, 2013 Bali, Indonesia

REGISTRATION FORM AND PAYMENT DETAILS


Please send this form to treasury@apac2013.org
Participant Details: Title : Name : E-mail : Organization Country : For Presenter/Author Paper ID Title of Paper

Please select: : : : :

Payment Details: Total Amount : Please select: (Participant would benefit an Early Bird rate for each payment received before June 30th, 2013) Transaction Date :

Fees should only be made by TELEGRAPHIC TRANSFER. Please scan and send your payment receipt together with this registration form via email to: treasury@apac2013.org Payment should be made payable to: Hasdinar Umar Account No: 1520012831786 Swiftcode: BMRIIDJA Bank Name: Bank Mandiri KK Makassar Institution Details (for issuance of invoice if necessary): Contact Person : Organization : Postal Address : City : State/Province : Other Information: DISCLAIMER The fee is NOT REFUNDABLE if withdrawn after registration is accepted by the Organizing Committee. However, substitute attendees are always welcome. Please retain your payment receipt for future reference. Organised by: Hasanuddin University, Makassar Indonesia Supported by Chinese Ocean Engineering Society Coastal Engineering Committee of Japan Society of Civil Engineers Korean Society of Coastal and Ocean Engineers .

Post Code Country

: :

Connect with us to receive update notification

@apac2013 APAC 2013

También podría gustarte