THE INTERNATIONAl ACADEMY OF BUSINESS And Public ADMINSTRATION DISCIPLINES (IABPAD)
REGISTRATION FORM
(PRINT THIS PAGE, FILL OUT INFORMATION & MAIL)
January 2-5, 2013 The Crowne Plaza Hotel
ORLANDO, FLORIDA
Last Name: ________________________________________
First Name & Middle Initial_____________________________
Organization Affiliation: _____________________________
Email:_________________ Phone number: ______________
Submission Title(s) and Paper
Number(s): ________________________
________________________________________________________
Appropriate track(s) for your
paper_______________________________
Your
coauthor(s):_________________________________________________
Registration Fee:
- Each person attending the conference must pay the registration fee.
- Registration fee is US $325 ($350 by credit card or money transfer) per person for one submission if paid by July 15 , 2012. Each additional submission is $50.00
- Late registration fee is US $375 ($400 by credit card or money transfer) per person if paid after July 15 , 2012.
- Additional proceedings page charge: US $10.00 for each page over the limit of 20 single-spaced pages
- Registration fee is US $175 ($200 by credit card or money transfer) for a full-time student, late registration is $200 ($225 by credit card or money transfer)
(Student should attach a letter signed by Department Head verifying full-time status)
- Registration fee is not refundable
Method of Payment:
University/College Check_________
Personal Check _____________
Money Order ______________
Credit Card (Please fill out following information)
- Master Card
- Discover
- Visa
- American Express
Credit Card Number: _________________________________
Credit Card Expiration Date:____________________________
Credit Card Billing Address:_____________________________
Authorized Name:_____________________________________
Signature:___________________________________________
Authorized Registration Fee to be Charged:
- Each person attending the conference must pay the registration fee.
- Registration fee is US $350 per person for one submission if paid by July 15, 2012. Each additional submission is $50.00
- Late registration fee is US $400 per person if paid after July 15 , 2012.
- Additional proceedings page charge: US $10.00 for each page over the limit of 20 single-spaced pages
- Registration fee is US $200 for a full-time student, late registration is $225 (Student should attach a letter signed by Department Head verifying full-time status)
- Registration fee is not refundable
● Please make your payment payable to IABPAD and mail it with the registration form to:
Dr. Raja Nassar, Conference Chair
IABPAD,
P. O. Box 295
Ruston, Louisiana 71273
● Please indicate if
you wish to serve as: ___ Discussant ___ Session Chair
If yes, indicate your area of
interest_____________________________________
● Do you want a vegetarian meal? ______ Yes _____
No
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