5th International Business Research Conference
Conference Registration Form
Title: Institution: E-mail: Mailing Address: City: Country: Broad Field of Research: (e.g. Accounting, Management, etc.) Are you willing to serve as a Session Chair? Are you a Fellow of the World Business Institute? Special Dietary Requirements: Please select your Conference Package from the list below: Code Description A B C D E F G H I J K Standard package with conference dinner Standard package without conference dinner WBI Fellow package with conference dinner WBI Fellow package without conference dinner Dinner ticket for accompanying person - Indicate number required here: Lunch & tea/coffee ticket for accompanying person per day - Indicate number required here: Concession package for students* with conference dinner Concession package for students* without conference dinner Paper publication in online journal (International Review of Business Research Papers) Special package for delegates (includes A & I) Special package for WBI Fellows and students (includes A & I) Fee (US$) 550 500 525 475 80 50 525 475 100 625 600
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* Students are required to provide at least one form of evidence of full-time enrolment
Payment Method International Bank draft / Bank cheque Made out to the “University of Wollongong in Dubai”. Address: PO Box 20183, Dubai, UAE Telex transfer Account No: 01-3115747-02 Bank: Standard Chartered Account Name: University of Wollongong in Dubai SWIFT Code: SCBLAEADXXX Branch: Bur Dubai Credit Card Type: Visa Name: Number: Expiry date:
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Your credit card will be charged with the amount indicated in the TOTAL column above. Please complete this form and fax it to + 971 4 367 2754 or mail to Lejla Vrazalic, PO Box 20183, Dubai, UAE by registered post or by courier. For courier services, please include the following telephone number: + 971 4 367 2400. Please DO NOT send cash payments/cash cheques through the mail. UOWD or WBI will not accept any responsibility for missing cash/cheques.