Global Information Technology Management Association (GITMA) Twelfth Annual World Conference June 5, 6 & 7, 2011, Las Vegas, Nevada, USA REGISTRATION FORM PRINT AND FILL WITH BOLD LETTERS IN DARK BLACK INK. Mail or fax the form to GITMA office. One author of each paper must register with full payment by March 15, 2011. Each Person attending the conference must register will full payment. Last Name _______________________________ First Name _________________________________ Organization ________________________ Address ___________________________________________________________________ City, State, Zip Code ________________________________________________Country______________ Telephone ________________ Fax _________________ E-mail __________________________________ If you wish to pay by credit card, please use online registration and pay using Paypal. You may register as a member or a non-member. All amounts are in US dollars. Until After April April 15, 15, 2011 2011 Combination Membership and Conference Registration* $ 425.00 $ 455.00 Non-Member Conference Registration $ 390.00 $ 420.00 Non-Member Conference Registration from less-developed countries (email us to qualify) $200.00 $230.00 Combination membership and Conference Registration from less-developed countries $299.00 $329.00 (email us to qualify)* Non-Member Conference Registration for Doctoral Student (You must fill out fulltime student registration form below and have your professor send us an email to confirm your student status) $200.00 $230.00 Combination Membership and Conference Registration for Doctoral Student (You must fill out full-time student registration form below and have your professor send us $299.00 $329.00 an email to confirm your student status)* Non-Member Conference Registration for Master's and Undergraduate Student (You must fill out full-time student registration form below and have your professor send us $95.00 an email to confirm your student status) $125.00 Combination Membership and Conference Registration for Master's and Undergraduate Student (You must fill out full-time student registration form below and have your professor send us an email to confirm your student status)* $194.00 $224.00 Organizational Membership Only (for the 2011 calendar year; Does NOT include conference registration but a free journal and other discounted publication are included.)* $99.00 * MEMBERS MUST FILL BELOW (Benefits not available to non-members) Annual membership includes one journal (a $99 value), and discounts on seminars, programs, workshops and publications. As member, select one journal on next page: $99.00 ___ Journal of Global Information Technology Management (JGITM) http://www.uncg.edu/bae/people/palvia/jgitm.htm ___ Journal of Information Technology Cases & Applications (JITCAR) http://www.liu.edu/jitca ___ Journal of Information Privacy & Security (JIPS) http://academics.uww.edu/business/gbrc/jips/ Within USA, add $10 for journal shipping If outside USA, add $35 for journal shipping $ 10.00 $ 35.00 $ 10.00 $ 35.00 Second Journal (check above) $ 55.00 $ 55.00 Third Journal (check above) $ 55.00 $ 55.00 Communications of Global Information Technology (COGIT). If you have been offered the opportunity to have the paper included in this journal, and wish to have it included, add $150. One complimentary copy will be sent to you by Ivy League Publishing. $150.00 $150.00 Book: Managing Global IT by Palvia, Palvia, Harris 2007, discounted price $ 60.00 $ 60.00 Add shipping & handling in USA - $10.00 $ 10.00 $ 10.00 Add shipping & handling - outside USA - air mail - $35.00 $ 35.00 $ 35.00 Monday evening special event (e.g., bus tour) $ 30.00 $ 30.00 Additional copy of conference proceedings $ 45.00 $ 45.00 Sunday evening reception $ 25.00 $ 25.00 As member, you may obtain the second and third journal for only $55 and the 2007 Global IT book for $60.00 + shipping & handling. Full Time Student Registration: Full-time students can register at lower rates shown above. Please have a professor verify your full-time student status below: Professor Name ____________________ University ____________________ I certify that the registrant is a full-time student and does not hold a full-time job. Signature ______________________________________________ Additional proceedings pages beyond 4 pages (only for full papers): No. of Pages x $50 Additional meal tickets for guests (guests allowed only at the following events) Monday breakfast $ 30.00 $ 30.00 Tuesday Luncheon $ 40.00 $ 40.00 Monday evening special event (e.g., bus tour) for additional guest $ 30.00 $ 30.00 Total Payment (Check, Money Order or Credit Card) Please check here if you would like a vegetarian meal. All checks and money orders must be in U.S. dollars, must have a corresponding U.S. bank listed on the check/money order and must be made payable to GITMA 2011 World Conference. Please print this form and fill it with payment information. Mail the form and check to: GITMA P.O. Box 39433 Greensboro, NC 27438, USA Please note that one author must register with full payment by March 15, 2011. Written request for cancellations will be accepted until May 1, 2011 (subject to a $150.00 processing fee). Substitution of individuals attending may be made until May 1, 2011. All no-show registrants will be billed in full.