Online Payment

For bank transfers please use the following information:
Account Name: FVM-CMU for ICOPHAI 2015
Bank name: Siam Commercial Bank Public Company Limited
Account No.: 667-400878-7
Account Type: Saving
SWIFT code: SICOTHBK
Bank Address: 39 Suthep, Muang, Chiang Mai, 50200 Thailand

For Credit Card Payment, please use the form below:

Registration Information

Registrant

I am completing this registration for myself

I am completing this registration for another individual

Complete the following fields with the information for the registrant attending the event. You will be able to add billing information later in the process.

First Name *

Last Name *

Street *

Street (Line 2)

City *

State/Province

Postal Code *

Phone *

(nnn-nnn-nnnn)

Email *

Country *

Are you a student?

Yes

By clicking Yes you agree that you have already submitted proof that you are a student, and have been authorized to proceed

Online Payment

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