2016 the 5th International Conference on Industrial Technology and Management
(ICITM 2016)
March 17-18, 2016
Paris, France
Registration Form
2016 the 5th International Conference on Industrial
Technology and Management (ICITM 2016)
March 17-18, 2016 in Paris, France
NOTE: To avoid delays in registration, please read the entire form carefully. You may submit your
completed Registration Form, Final Papers (doc. and pdf.), Copyright Form and Scanned Payment
Proof of applicable registration fee to icitm@asr.org before Feb 20, 2016. Please submit one form for
each participant.
Participant Information
*Compulsory items
Male□ Female□
*Prefix: (Prof., Associate Prof., Assistant Prof., Dr., Mr. Ms. etc.)
*A clear photo
*First Name:
*Family Name:
*Affiliation(Organization or University):
**Post Address:
*City:
*State/Province:
*Country:
*ZIP/Post Code:
*Tel.:
*E-mail:
Student ID Number:
Fax:
ASR Member Number:
*Paper ID:
*Paper Title:
*Paper Authors( same order as the final paper):
*Paper Pages:
*Additional Page:
Yes □
*Will you attend the conference in person?
Note:
The participant’s name(If yes):
(Very important! The certificate for participant will be under this name)
If no: The journal and official receipt will be sent to you after conference for free if you can’t attend.
Special dietary:
Diabetic□Vegetarian□Muslim□Other□(please specify:
Physical requirements (if any):
)
No □
2016 the 5th International Conference on Industrial Technology and Management
(ICITM 2016)
March 17-18, 2016
Paris, France
Conference Fees (by US Dollar) ***
Items
Amount
Authors(Student) *
400 USD
Authors(ASR Member) *
400 USD
Authors(Non Member nor Non Student) *
450 USD
Presenter
350 USD
Listeners
300 USD
Invited Speaker
Additional paper(s) **
Additional page(up to extra 4 pages)
Extra Proceeding
Your Choice (Use Arabic Numerals)
Free
320 USD
50 USD/One Page
60 USD
Total
NOTE:
Author: making a presentation of the paper which will be published by the proceedings/journals.
Listener: Participating in the conference only without neither presentation nor paper publication.
Presenter: making a presentation on the conference without any paper publishing.
* One regular registration can cover a paper within SEVEN pages, including all figures, tables, and references.
** One regular registration with one or more additional papers has only ONE proceeding book.
*** For the authors who have difficulties to pay US Dollars, such as Iranian, please pay Euros.
Payment Terms
1. Payment by Credit Card.
PAYING METHOD (No handling fee)
http://meeting.yizhifubj.com.cn/web/main.action?meetingId=188
Please make sure you have VISA or Mastered Card Credit Card before clicking this link, and you should also
calculate the right amount to pay.
Please fill in the E-mail and Confirmation Number after paying.
E-mail:
Order Number:
2. Registration fee can be paid to the Organizing Committee through bank transfer. If you want to
finish the payment by bank transfer, please see the bank account below.
Account Name: American Society for Research
Account Number: 3250-3301-2740
Name of Bank: Bank of America
2016 the 5th International Conference on Industrial Technology and Management
(ICITM 2016)
March 17-18, 2016
Paris, France
Bank Address: 444 Garey Ave, Pomona, CA 91766
SWIFT Code: BOFAUS3N
Please fill in your information after bank transfer.
Remitter’s A/C No.
Remitter’s Name
Remittance Date
Remittance Amount
NOTE:
1. Payment by Method 1 is priority to accept.
2. Bank service charges should be paid by the payer.
3. If pay by method 2, please pay 30 USD more for the handling fee
4. If pay by method 2, please send a copy of bank remittance marked with “ICITM 2016+ your paper ID” to
icitm@asr.org.
5. Registration can only be secured and confirmed when payment has been received.
To avoid delays in registration, please read the entire form carefully. You may submit the following
documents to icitm@asr.org before January 05, 2016.
1. Registration Form
2. Final Papers (doc. and pdf.),
3. Copyright form
4. The Scanned Payment of the applicable registration fee
ICITM 2016 Organizing Committees
http://www.icitm.org/
icitm@asr.org
Paris, France