Registration Form : Tea and Coffee International Symposium 2024 & The 3rd International Congress on Cocoa Coffee and Tea Asia

Registration Form : Tea and Coffee International Symposium 2024 & The 3rd International Congress on Cocoa Coffee and Tea Asia(Online Meeting Via Zoom)
Consent form:

By registering for Tea and Coffee International Symposium 2024 & The 3rd International Congress on Cocoa Coffee and Tea Asia, you are consenting to receive communications that are important for your preparation to the Event, as well as information and advertising of related events from Tea and Coffee Institute and its appointed partners/affiliates.

This includes registration, acknowledgement and confirmation emails,disclosing your name and other personal information, business networking opportunities, event surveys, book of abstracts, participants list, industry specific newsletters, and invitations to future events via telephone, email and/or digital media.
Data Consent:*

Accept

Personal Detail (ข้อมูลส่วนบุคคล)

Please fill out this form in English only (กรุณากรอกแบบฟอร์มเป็นภาษาอังกฤษเท่านั้น)
Full Name:*

TitleFirst NameMiddle NameLast Name
E-mail:*
example@example.com
Phone Number:*
Affiliations:*
Affiliations Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website:
Position:*

Registration Fee

Bank charges must be paid by delegate
“The registration fee for an accompanying person includes entry to the conference via Zoom on July 4-5, 2024”
Delegate:*

Oversea (USD 60)
*USD = The United States of America currency in US dollar
Payment:*

Pay NowPay Later within 7 days
Note: Please complete and notify us of your payment by July 2, 2024. Only paid registrants will receive the confirmation email and Zoom link one day before the conference.

Bank Transfer to Bangkok Bank Public Company Limited
Branch: Mae Fah Luang University
Account Name: Academic Conference Mae Fah Luang University
Account No.: 672-0-41365-4
Swift code: BKKBTHBK

Payment method
Term and Conditions
- Payment must be made by bank transfer; no other method of payment will be accepted.
- Attendants must be held responsible for their own international bank transfer fee(s).
- Cancellations will not be refunded under any circumstances.
Bank Transfer to Bangkok Bank Public Company Limited
Branch: Mae Fah Luang University
Account Name: Academic Conference Mae Fah Luang University
Account No.: 672-0-41365-4
Swift code: BKKBTHBK
Payment Date/Time:*

MonthDayYear
Date
Hour MinutesAM/PM Option
File Upload:*

Cancelof

Registration Receipt Detail
If you require the receipt, please fill out this form :*

Yes, same address with personal detail pageYes, other addressNo
Receipt issued date:*

Conference datePayment date

☑ Yes, same address with personal detail page
Address with personal detail page:
{address4}
Affiliation / Delegate’s name for receipt:*
Tax ID:*
Channel for receiving payment receipts:*

Receive online via e-mail address after registration within 2 weeksReceive later via post after the conference *Delivery in Thailand: 1-2 weeks **Delivery overseas: 2-4 weeks
Address for delivering payment receipts:*

Same address with personal detail pageOther address
Address for delivering payment receipts detail:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

☑ Yes, other address
Affiliation / Delegate’s name for receipt:*
Address for receipt:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tax ID:*
Channel for receiving payment receipts:*

Receive online via e-mail address after registration within 2 weeksReceive later via post after the conference *Delivery in Thailand: 1-2 weeks **Delivery overseas: 2-4 weeks
Address for delivering payment receipts:*

Same address with personal detail pageSame address as registration receipt detail pageOther address
Address for delivering payment receipts detail:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Registration Form : Tea and Coffee International Symposium 2024 & The 3rd International Congress on Cocoa Coffee and Tea Asia(Online Meeting Via Zoom)