<p> 2018 7th International Conference on Language, Medias and Culture (ICLMC 2018)</p><p>Registration form of the ICLMC 2018</p><p>Fukuoka, Japan / March 26-28, 2018 </p><p> http://www.iclmc.org/ </p><p>ICLMC 2018 will be held Fukuoka, Japan during March 26-28, 2018. Please note that it is essential for all participants to send a completed Registration Form and Payment Proof to [email protected] before March 05, 2018.</p><p>1. PERSONAL INFORMATION * Compulsory * Optional * Participant’s Full Name: A clear photo of 2 inches (Very important! The certificate for participant will be under this name) * Participant’s Affiliation (Organization or University): * Position: Prof. Assoc. Prof. Asst. Prof. Lecturer Ph.D Master Mr./Ms. Note: Please click the box to check. If there are no applicable options, please advise: * One Day Visit in Fukuoka, Japan on March 28, 2018 Yes No The Attendee’s Full Name (If yes): * City: * State/Province: * Country: * Zip/Post Code: * Telephone: * Email: * Fax: * Special Needs or Dietary Requirements: Vegetarian Muslim  Others (Please specify: ) 2. REGISTRATION FEE Registration Fee Please fill √ Listeners 300 USD  One-Day Tour 80 USD  Note: * If you hope to know more information of IEDRC, please browse the website: www.iedrc.org ** Be our member, please browse the website: www.iedrc.org/list-22-1.html 3. PAYMENT INFORMATION  Method 1 Credit Card Payment Information (No handling fees) http://meeting.yizhifubj.com.cn/web/main.action?meetingId=188 Please make sure you have VISA or Mastered Card before clicking this link, and you should also calculate the right amount. Please fill in the E-mail and Confirmation Number after the payment. E-mail: Order Number:</p><p> Method 2</p><p>1 2018 7th International Conference on Language, Medias and Culture (ICLMC 2018)</p><p>Bank Name: HANG SENG BANK LIMITED</p><p>Bank Address: 83 DES VOEUX ROAD CENTRAL, HONGKONG</p><p>Name of Account: ZHOU JIANHONG</p><p>Account Number: 779 053 099 668</p><p>BIC/SWIFT Code: HASEHKHH</p><p>Please fill in the following form for us to check your payment.</p><p>If pay by method 2, please pay 30 USD more, for the handling fees. Remitter’s A/C No. Remitter’s Name: Remit Date: Remit Amount: ICLMC 2018 Organizing Committee</p><p>Fukuoka, Japan</p><p>2</p>