CREDIT CARD PAYMENT REQUEST FORM
Workshop Name: The 7th Workshop on Accelerator Operations
Dates: April 11 ~ 16, 2010
Print Name on Credit Card
Participant's Name if different from credit card
E-mail Address
Credit Card Number
Card Security Code*
Expiration Date
Registration Fee (KRW)
Signature for credit card approval
* The card security code(CDC) is a 3- or 4-digit number printed in the signature field on the back of your credit card.
Payment by credit card should be required to fax this form with signature.
REGISTRATION FEE
Before February 15, 2010 | KRW 300,000 |
After February 15, 2010 | KRW 380,000 |
The registration fee covers a copy of the workshop program and an abstract book, the welcome reception, the workshop
banquet, the tour and lunches at the KAERI cafeteria.
Please fax it to +82-42-868-8131
ATTN : bspark@kaeri.re.kr
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