<p> Registration Form</p><p>5th Annual International Conference on Journalism & Mass Communications (JMComm 2016)</p><p>Date: 10 – 11 October 2016, Singapore</p><p>Please fill in the form, sign by hand, and send it via one of the following: Fax: +65 6327 0162 / E-mail: [email protected] </p><p>Title (Student/Prof/Dr): _____ First Name: ______Last Name: ______</p><p>Paper ID: ____ Paper Title: ______(for authors only)</p><p>Institution: ______</p><p>Street Address: ______</p><p>City: ______State: ______Country: ______Zip: ______</p><p>Phone: ______Fax: ______Email: ______</p><p>Dietary Requirements: ______Attending conference: Yes / No </p><p>Conference Registration Fees</p><p>The full registration fee includes: Keynote & invited speakers session(s) (if any), concurrent sessions of Technical Program, Conference Proceedings, lunch, morning and afternoon refreshment breaks and GSTF Polo T Shirt.</p><p>Ladies’ Polo T-Shirt Size: S “36 </p><p>Men’s Polo T-Shirt Size: S “38 M “40 L “42 XL “44 </p><p>Become a GSTF Associate Member (+ SGD 40) Become a GSTF Student Member (+ SGD 25) (Members will avail of the subsidized fees as indicated on the next page) </p><p>Regular Papers </p><p>Tick appropriate Category Registration Fee (SGD) category For Regular Papers Early-bird registration - Author (GSTF Member) 800 Early-bird registration - Author (Student) 800 Early-bird registration - Author (Non Member) 850 Additional Authors 500/pax Additional Papers 430/paper Extra Pages (up to 4 extra pages) 80/page Late registration - Author (GSTF Member) 1000 Late registration - Author (Student) 1000 Late registration - Author (Non Member) 1100 For Posters & Extended Abstracts Early-bird registration - Author (GSTF Member) 600 Early-bird registration - Author (Student) 600 Early-bird registration - Author (Non Member) 650 Additional Authors 450/pax Additional Posters/EAs 300/paper Late registration - Author (GSTF Member) 775 Late registration - Author (Student) 775 Late registration - Author (Non Member) 825 For Non-Authors Early-bird registration - Non-Author Participant 670 Early-bird registration - Non-Author Participant (Proceedings) 770 Late registration - Non-Author Participant 770 Late registration - Non-Author Participant (Proceedings) 870</p><p>Returning delegates </p><p>Tick appropriate Category Registration Fee (SGD) category Early Bird Registration - Author (Non Member) 650 Early Bird Registration - Member / student 600 Late Registration - Author (Non Member) 750 Late Registration - Member / student 700</p><p>Note: - In order to avail of the student rates, a formal letter from their University is required. - If the registered participant is unable to attend, the registration may be transferred to another presenter. S/he must inform the Conference Secretariat a month before the conference. No refunds will be issued. </p><p>Payment methods Please indicate the paper ID and title in the payment slip. 1. Wire transfer (TT) 2. Credit/Debit Cards</p><p>Account Name: ‘Global Science and Technology Forum Pte Ltd’ Payment can be made online via PayPal. Please follow Bank Name: United Overseas Bank (UOB) the link provided on the conference website. Bank Address: Anson Road, #01-01 International Plaza, Singapore 079903 Please email the Conference Secretariat your PayPal payment slip along with the registration form. Please email the Conference Secretariat for more information. *All PayPal transactions will include a 5% PayPal * For wire transfer, please add SGD 45.00 for administrative fee. local/overseas bank charges.</p><p>Author’s Signature and date:</p>