The new registration fees rate will take effect on midnight, March 2, 2007, Thailand Standard Time (GMT +7). Please refer to the new rates below.
Onsite registration forms will be available at the registration desk at the conference site. Please refer to the conference website for the onsite rates.
To register for the conference, please fill the following form and mail or fax it to the address or number below together with your proof of payment (deposit slip you received from your local bank).
Name:________________________________________________ Title: Prof./Dr./Mr./Mrs./Ms. Affiliation:_____________________________________________ _________________________________________________________ City: _______________________________________________________ State:_______________ Country: ______________________________ Email: _____________________________________________________ [_] I will present a paper Title: _____________________________________________ Please send your abstract by e-mail to the address below (in case you have not done so already). [_] I will attend the conference only but won't be presenting a paper. Signature: ________________________________________
Important: Please check every item that applies to your case.
[_] I am NOT a member of the Asian Bioethics Association [_] I am a citizen of an OECD Country (Australia, Austria, Belgium, Canada, Czech Republic, Denmark, Finland, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Korea, Luxembourg, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Slovak Republic, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States). [_] Normal registration: 260 US dollars. *[_] Student registration: 130 US dollars. *Proof of studentship required for student registration. Please send a copy of your valid student ID together with this registration form and payment. [_] I am a citizen of a non-OECD Country (all but the above). [_] Normal registration: 130 US dollars (or 4,500 Thai Baht). *[_] Student registration: 65 US dollars (or 2,250 Thai Baht). *Proof of studentship required for student registration. Please send a copy of your valid student ID together with this registration form and payment. [_] I am a current member of the Asian Bioethics Association (please obtain confirmation from Darryl Macer, secretary of ABA [d.macer@unescobkk.org]) [_] I am a citizen of an OECD Country (Australia, Austria, Belgium, Canada, Czech Republic, Denmark, Finland, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Korea, Luxembourg, Mexico, Netherlands, New Zealand, Norway, Poland, Portugal, Slovak Republic, Spain, Sweden, Switzerland, Turkey, United Kingdom, United States). [_] Normal registration: 208 US dollars. *[_] Student registration: 104 US dollars. *Proof of studentship required for student registration. Please send a copy of your valid student ID together with this registration form and payment. [_] I am a citizen of a non-OECD Country (all but the above). [_] Normal registration: 104 US dollars (or 3,600 Thai Baht). *[_] Student registration: 52 US dollars (1,800 Thai Baht). *Proof of studentship required for student registration. Please send a copy of your valid student ID together with this registration form and payment. Everyone please check one of the following: [_] I have already filled in the credit card payment form and given all the needed information. [_] I have already included a bank draft, or an international money order for the amount I checked above, payable to The Eighth Asian Bioethics Conference. (Please see below for details.) [_] I have already transferred the fees to the conference account directly, and am sending a proof of deposit together with this form. (Please see below for details.)
Three options:
1. Payment by credit card. This is the preferred method. Please fill in the following:
[_]VISA [_]MASTERCARD Card number: ________________________________________________ Important: The last three digits on your signature panel at the back of your card : _______________ Name on Card (block letters): ______________________________________________ Date of Expiry: Month _______________ Year ________ Signature: ______________________________________ Date: Day_________/Month _________________/Year 200_____ Amount Paid: _____________ US dollars OR _______________ Thai Baht (Please see above for your applicable rate.)
2. Payment by direct transfer. Please send the fees to the following account:
Account Name: The Eighth Asian Bioethics Conference Account Number: 038-4-06532-4 Bank Name: Siam Commercial Bank Public Company Limited, Siam Square Branch SWIFT CODE: SICOTHBK Bank Address: 222 Rama I Road, Pathumwan, Bangkok 10330, Thailand
**Important: Please do not forget to send your full name with your payment, and please also fax your payment record that you received from your bank to us as proof of your payment.**
3. Payment by mail. Please mail only a certified bank draft in US dollars, together with this form, to the address below. No personal check is accepted. The bank draft should be made payable to “The Eighth Asian Bioethics Conference.”
Information about onsite registration will be announced in a separate document.
Please send this form (by fax or regular mail) to:
Dr. Valaikanya Plasai
College of Public Health, Chulalongkorn University, Bangkok 10330, THAILAND, FAX: +66-2-255-6046.
Alternatively, you can scan the required documents and sent them by e-mail to
s.hongladarom@gmail.com.
Last updated, October 30, 2006