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For further information, please call Ben Leong - 617.968.2311 or email: icaoct@aol.com

CANCELLATION POLICY: All requests for refund must be in writing. Full refund will be granted for requests received prior to April 09, 2010.  Any requests received after April 09, 2010 shall be charged an administration-processing fee of $100.00. Refund requests received after April 30, 2010 will not be honored. Approved refunds will be mailed at termination of the conference.

8th International Conference on Asian Organized Crime and Terrorism - Registration Form

Please check appropriate box (s):  Delegate  Speaker  Committee  Vendor/Media

Please print/type your name as you would like it to appear on the conference certificate:

Last Name  First Name  Middle Initial

Agency  Rank/Title

Address (number and street):

City:State:Postal Code: Country:

E-mail:

Phone Number  Fax  Mobile

I will need extra Banquet tickets.  How many  @ $75 per ticket, Total $

Conference Registration Fee  $395US                      IOACIS MEMBERS Only   $350US

Total amount of check or to charge on credit card  

Please complete credit card info below: VisaMastercardAmerican Express

Credit Card #  Expiration Date

PLEASE COMPLETE, PRINT AND FAX TO (781) 383-2434 or mail with check payment to:

IOACIS / ICAOCT

PO Box 612

N. Scituate, MA  02060-0612