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