2012 Global Marketing Conference at Seoul


Given Name : ___________________________________   Family Name _____________________________________________
Title __________________________________________   Name for Badge : _________________________________________
University/Company _______________________________________________________________________________________
Business Address _________________________________________________________________________________________
           City                                State                                    Zip                                     Country
Telephone : ____________________________________   Fax : ___________________________________________________
E-mail : (please print clearly) ________________________________________________________________________________

RECEPTION /BANQUET ATTENDANCE (included with registration fee) Please check the appropriate space.

□ I will attend reception      □ I will not attend reception      □ Vegetarian
□ I will attend banquets (Friday evening)      □ I will not attend banquet
□ My spouse/guest will also attend reception/banquet

Fee includes conference registration, welcome reception(s), banquet and Proceedings.
REGISTRATION FEE - Please complete the appropriate space(s) and indicate the total fee paid. Fee is to be paid in U.S. dollars.
Refunds are subject to a $50 cancellation fee.

KSMS Active/Current Member Conference Registration $510.00
New KSMS Member Conference Registration
(Includes discounted current year membership dues for one year)
New KSMS Student Discount
(Includes current year membership dues for one year)
(Expected Graduation Date __________)
Spouse/Guest Lunch (Thursday)  
Spouse/Guest Banquet (Friday)  
EARLY BIRD DISCOUNT (by April 30, 2012)  
Total Amount Due ________
PAYMENT DETAILS : Please provide the following information.
Only VISA and MASTERCARD are acceptable

Card Number : __________________________________________________    Exp Date : ______________________________
Name of Card Holder : ____________________________________________    Signature : _____________________________

Send completed form to the following place by either e-mail or fax:
2012 Global Marketing Conference at Seoul
Central Office
Korean Scholars of Marketing Science
9 Sarimdong, Changwon, Republic of Korea
Tel : +82 55 213 3346
Fax : +82 55 263 9096
E-mail : stride@changwon.ac.kr

Global Marketing Conference, Central Office, Dept. of Business Administration, Changwon National University
Sarim-dong, Uichang-gu, Changwon, Gyeongsangnam-do, Republic of Korea
Tel : +82-55-213-3346, Fax : +82-55-263-9096     Copyright ⓒ 2011 KSMS. All Right Reserved.