Global Business Development Institute
GBDI International Conference
GBDI Conference Registration Form
March 19-21, 2012 - Las Vegas,Nevada, USA
Please PRINT clearly. Would you like to serve as a Session Chair? Yes / No
I can't physically attend the conference. I must present in Absentia. Yes / No
Paper Number: _______ Number of Pages in paper: ___________ Topic Code: _______
Paper Number: _______ Number of Pages in paper: ___________ Topic Code: _______
Name: ______________________________________
Affiliation: ____________________________________
Mailing Address: _________________ City: _____________
State: _________ Zip: _______ Country: _______________
Phone: ______ Fax: ______ Email: ____________________
** This postal mailing address will be used to send Journal copies. **
Co-author: _________________ Is this co-author attending? Yes / No
Co-author: _________________ Is this co-author attending? Yes / No
More than three authors for any paper is discouraged.**Each Conference Attendee must submit a separate Registration Form.**
Publication Preference:
1) Conference Proceedings (on CD-ROM) or 2) a refereed Journal or 3) BOTH Conference Proceedings AND a refereed Journal (add.l fee): ____________
Where did you hear about the GBDI Conference? (Please circle all that apply)
Direct Mail Web Search Personal Referral E-mail Other:__________________
Registration Fee:
Registration for each attendee paid before February 15,12($410)$_________
Registration for each attendee paid on or after February 15,12($480) $_____________
Additional Papers by same Author(s) (+$220 each additional paper) $______________
Guest (not a Paper Presenter) (+$120 each person) $__________________
Fee for Additional Journal Issue(s) (+$95 each) $______________
Extra Page Fee for Journal (+$60 each page after 5)++ $______________
Fee to publish in BOTH a GBDI Journal AND Proceedings (on CD)++ (+$45 per paper)
$________________
Extra Page Fee for Proceedings (+$12 each page after 14) $______________
Student Discount (-$100) $______________
Team Registration Discount (3+ authors registering together)(-$30) $______________
Total Payment = $______________
Payment Method (circle one): Check / Bank Draft
++ For these items, the fee can be paid after GBDI informs you that your paper is
accepted by Reviewers for journal publication.
****** Presentation Scheduling requests (for a specific date) must be written into this Form. Please detail the reason for your request along with this form. ******
Signature: _______________________ Date: ___________
Refer to the “Registration Information” section of the “Conference” page for registration and payment details. See Conference Page for Topic Codes.
Please make all payments out to “GBDI” in U.S. Dollars by check .
All attendees who are located outside the USA, please pay by Bank Money Order, or Bank Draft.
Please mail your payment along with this completed form as a hard copy and other required attachments to:
GBDI - 582 N. Fifth Avenue - Upland, CA 91786 - USA