You are on page 1of 2

Third International Conference on Industrial Engineering

and Operations Management, Istanbul, Turkey


July 3 – 6, 2012

REGISTRATION FORM

Please fill out all sections of this form using block letters and return to:
By E-mail: aali@ltu.edu
The Conference Regular Conference Registration Fee includes the followings:
 Conference Sessions
 Keynote Presentations
 Conference Welcome Reception Cocktail
 Gala Conference Dinner with Cultural Activities
 Lunches for four days
 Tea/Coffee Breaks
 Conference Booklet
 Conference CDROM Proceedings
 Conference Bag

Last Name AMAITIK First Name Saleh


Organization / Company Benghazi University

Address Garyounis, Benghazi 


ZIP, Town and Country
Telephone Fax
E-mail smamaitik@yahoo.com
Paper ID 169

REGISTRATION FEES
By March 30, 2012 After March 30, 2012
Registration Category
Early Registration Regular Registration

Author/Participants US$ 500 US$ 550

Student Author* US$ 200 US$ 250

Accompanying Person** US$ 200 US$ 200

Additional Papers* US$ 100 US$ 100

Dinner Ticket (#: _____ ) $ 70 $ 70


Third International Conference on Industrial Engineering
and Operations Management, Istanbul, Turkey
July 3 – 6, 2012

*Student registration will not include conference dinner. Dinner ticket can be purchased at $70 in
advance.

**Only family (spouse, parents, children etc) members are considered as accompanying person.
Conference dinner is not included in the accompanying registration. Guest dinner ticket can be purchased
at $70 in advance. Only family (spouse, parents, children etc) members are considered as accompanying
person
 For the authors who have difficulties to pay US Dollars, please pay equivalent Euros
 Student are required to email a student verification letter from the department head.
 Each registration fees entitle for publishing maximum two papers. Additional paper add US$100 with
the registration fees.
 Authors need register and pay by March 30, 2012 in order to have their papers included in the
conference CD-ROM proceedings.

Total Amount Paid: USD $500

PAYING METHOD (Choose one only)

Method 1: BY BANK TRANSFER (TT, not Bank Draft): The registrant is requested to pay all
handling fees charged by his or her bank(s).

Bank Transfer Information


Bank Name: JP Morgan Chase Bank
Account Name: Lawrence Technological Univeersity
Account Number: 000000836721167
Routing (ABA) Number: 021000021 (Wire Transfers)
Routing Number (ACH): 072000326
Swift Code: CHASUS33 (international wires)

Method 2 : BY CHECK
Payable to : Lawrence Technological Univeristy
Address: 21000 West Ten Mile Road, Southfield, MI 48075, USA
in memo, write for IEOM 2012 Conference (Attention: Ahad Ali)

Method 3 : BY CREDIT CARD ( Online )


Link for online payment: http://www.xcdsystem.com/ieom2012/attendee/index.cfm?ID=atten2012

Please indicate your paper id code in the payment, and return the registration form and scanned
payment proof to aali@LTU.edu by e-mail attachment.

You might also like