GBDI-CONFERENCE REGISTRATION FORM
March 22-25, 2009 - Plaza Hotel and Casino, Las Vegas, NV
Please PRINT clearly. Would you like to serve as a Session Chair? Yes / No
Would you like to serve as a Reviewer? Yes / No
Paper Number: _______ Number of Pages in paper: ___________ Topic Code: _______
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 ($340) $______________ (Registration Fee includes publishing in EITHER a GBDI Journal OR Proceedings)
Additional Papers by same Author(s) (+$170 each additional paper) $______________
Guest (not a Paper Presenter) (+$120 each person) $__________________
Fee for Additional Journal Issue(s) (+$65 each) $______________
Late Fee (Payment after the Registration Deadline) (+$60) $______________
Extra Page Fee for Journal (+$30 each page after 5) $______________
Fee to publish in BOTH a GBDI Journal AND Proceedings (on CD) $__________________ (+$25 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): PayPal / Check / Bank Draft
****** 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. All attendees who are located outside the USA, please pay by Bank Money Order, Bank Draft, or Credit Card.
To pay by Credit Card, please visit www.paypal.com and click “Send Money”, then enter “payment@gbdi-conference.org” in the “To:” field. After entering Credit Card payment, please send Registration Form and any accompanying materials to the address below.
Please mail your payment (unless paying by Credit Card) along with this completed form and other required attachments to: