Graphene Malaysia

REGISTRATION

Graphene Malaysia 2018 Conference
Kuala Lumpur (Malaysia) 29-30 October, 2018

Registration Form

Gender(*)	Male Female
Title(*)
First Name(*)
Last Name(*)
Institution/Dept.(*)
Address(*)
City(*)
ZIP Code(*)
Country(*)
Phone(*)
Fax
E-Mail(*)
VAT Number
Doctoral Student(*)(a)
Poster contribution
How did you hear about the Conference Graphene Malaysia 2018? (*)

Graphene Malaysia Conference Fees (International)

Participants

	Before August 11		Before September 14		After September 14
Senior	300 Euros		400 Euros		480 Euros
Student (a)	200 Euros		300 Euros		360 Euros
Exhibition pass *	70 Euros		100 Euros		180 Euros
Business Matching (B2B)	Free		70 Euros		100 Euros
* (Only for exhibiting companies)

Exhibition Fee (Stand 3X3 m2)

	Before August 01		Before September 14		After September 14
Space rental Only¹	650 Euros		800 Euros		950 Euros
Space rental Only²	850 Euros		1050 Euros		1250 Euros
Standard Package¹	1000 Euros		1200 Euros		1400 Euros
Standard Package²	1200 Euros		1450 Euros		1650 Euros

1 - Includes 2 exhibition pass
2 - Includes 1 conference pass and 2 exhibition pass

Please, send us by email (info@graphenemalaysiaconf.com) name and surname for each Exhibition pass

(*) Mandatory fields
(a) Justification signed by your PhD Adviser should be sent by e-mail (info@graphenemalaysiaconf.com)

Additional Info

Arrival Date: Departure Date

Type of participation

P A Y M E N T

Invoices will be sent on behalf of a legal person (university or company) without VAT (except Spain). If an invoice is requested by a natural person, the VAT should be added.

(*) For Credit Card payment, a 2,5% (bank costs) will be applied.

1) Bank transfer to the order of "Fundacion PHANTOMS" must bear the mention "FREE OF CHARGE TO THE RECEIVER" and must indicate GrapheneMalaysia2018 Conference and LAST and FIRST NAME of the participant to facilitate identification and to the following bank account:

    CaixaBank SA, Calle Ibiza 64, 28009 Madrid (Spain)
    BIC (Bank Identifier Code): CAIXESBBXXX
    IBAN (International Bank Account Number): ES55 2100 6441 5122 0002 0128
    Phantoms Foundation VAT Number: ES G83352724

PLEASE, SEND BY email (info@graphenemalaysiaconf.com) A COPY OF YOUR BANK TRANSFER MAKING CLEAR THE NAME OF PARTICIPANTS TO GrapheneMalaysia2018 CONFERENCE.
ALL BANK CHARGES SHOULD BE PAID BY THE APPLICANTS.

2) Credit card [ VISA - MasterCard ]

To validate the Registration Form, please write the following code:

CANCELLATION & REFUND POLICY

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Requests to change conference registration and cancellations must be made in writing and to be emailed to: info@graphenemalaysiaconf.com.

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Please note that refunds will be made after the conference and the registration fees are refundable as specified below.

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The bank charges for the refund is on the registrants.

Cancellation/Refund Request		Refund

Until August 27, 2018		50% Refund
From August 28, 2018		No Refund

INSURANCE
The Organisation Committee will not be responsible for any medical expenses, lost property, or accidents during the Graphene Malaysia Conference and we strongly recommend that participants make all necessary insurance arrangements for themselves.