ICAMechS2015 Registration Form
The 2015 International Conference on
Advanced Mechatronic System (ICAMechS2014)
August 22-24, 2015, Beijing, China
http://www.tuat.ac.jp/~deng/icamechs2015/icamechs2015.html
Please send the completed Registration Form by Fax or E-mail to:
Prof. Mingcong Deng, General Chair, ICAMechS2015
Dept. of Electrical and Electronic Eng.(The Graduate School of Eng.)
Tokyo University of Agriculture and Technology
2-24-16 Nakacho, Koganei, Tokyo 184-8588, Japan
Fax: +81-42-388-7134
Tel: +81-42-388-7134
E-mail: icamechs2015@gmail.com
Paper No(s):
Prof./Dr./Mr./Ms.
First name:
Family name:
Department:
Institution:
Mailing Address:
City:
State/Province:
Post/ZIP Code:
Telephone:
Country:
Fax:
Email:
Registration Fees:
Payment
Advance Registration: before July 31, 2015
See the Registration Rates on the website
Late or On Site Registration: after August 1, 2015
See the Registration Rates on the website
Registration Total
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Payment Options:
※ For the security of your credit card information, we recommend you to pay the fee by Bank
transfer.
[
] Credit card:
[
] Visa
[
] MasterCard
Credit Card No: ______________/_____________/_____________/____________
Security Code No: ________(Last 3 digitals of the number indicated in the signature space.)
Expire Date:
month/
year
Card Holders Name: __________________________________________________
Authorized Signature: _________________________________________________
[
] Bank transfer:
Beneficiary:
ICAMechS GENERAL CHAIR MINGCONG DENG
Account No.:
114-1320269
Bank name:
KOGANEI BRANCH, MIZUHO BANK, LTD.
Bank address:
5-13-3, HONCHO, KOGANEI-SHI, TOKYO, JAPAN
Int. Bank Account No.: MHCBJPJT
Note:
1. Payments sent by bank transfer must be free of charges for ICAMechS2015. Please mark that the
payment is for Registration Fee of ICAMechS2015.
2. An Official Receipt for the payment will be passed to the registrant on the conference site.
3. After you completed the payment through the bank, please send a copy of the payment receipt
(from your bank) with Paper No. to Prof. Mingcong Deng, General Chair, ICAMechS2015 by Fax
or E-mail.
Signature: _______________________________________
Date: _____________________ _____________________
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