To register for the conference, please print the following form, fill it out 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).
You also might want to open this same form as a separate file in RTF or PDF formats.
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 above (in case you have not done so already).
[_] I will attend the conference only but won't be presenting a paper.
Signature: ________________________________________
[_] Early registration (on or before November 10, 2004): 100 US dollars.
[_] Normal registration (November 11, 2004 onward): 150 US dollars.
*[_] Early student registration (on or before November 10, 2004): 40 US dollars.
*[_] Normal student registration (November 11, 2004 onward): 65 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.
[_] Registration for local participation only ('local' is defined by residency or employment in Thailand): 2,000 Baht.
*[_] Registration for local student participation: 1,500 Baht.
[ ] I have already included a bank draft or an international money order for the amount above, payable to AP-CAP 2005. (Please see below for details.)
[ ] I have already transferred the fees to the conference account (AP-CAP 2005) directly, and am sending a proof of deposit together with this form. (Please see below for details.)
Two options:
1. Payment by direct transfer. Please send the fees to the following account:
Account Name: AP-CAP 2005
Account Number: 052-0-00074-9
Bank Name: Krung Thai Bank Public Company Limited, Siam Square Branch.
SWIFT CODE: KRTHTHBK
Bank Address: 416/1-2 Henri Dunant Road, 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.**
2. Payment by mail. Please mail only a certified bank draft in US dollars, together with this form, to the address below. No personal checks accepted.
For local participants, please deposit the registration fees directly at the Krung Thai Bank listed above and fax your deposit slip to Dr. Soraj Hongladarom at 02 218 4755 together with this registration form.
Please send this form (by fax or regular mail) to:
Dr. Soraj Hongladarom
Department of Philosophy, Faculty of Arts, Chulalongkorn University, Bangkok 10330, THAILAND
FAX: +66-2-218-4755