UMaT Mining and Mineral Conference - Registration Form

Please fill the registration form, print it, add the payment receipt and e-mail it to: conference@umat.edu.gh

Name:
Title (Prof., Dr., etc.):
Name to appear on delegate badge:
Organisation:
Address:
City
Country:
Telephone:
Fax:
Email:

Please register me as follows:

Before July 10, 2012
Author (US$300):
Exhibitor (US$500):
Student* (US$100):

Total Payment: US$

*A copy of the student ID card or an equivalent declaration signed by the institution must be provided  

Payment

The registration fee should be paid by telegraphic/money transfer via swift code into the account details below:
Name of Bank: Ecobank Ghana Limited, Tarkwa, Ghana
Account Name: University of Mines & Technology, Tarkwa, Ghana
Account Number: 1901254490211
Swift Code: ECOCGHAC

Participants who intend to pay in GHc may pay at equivalent current exchange rate of
US$ 1.00 = GHc 1.56
into the account details below and advice the committee.

Name of Bank: Ghana Commercial Bank
Account Name: University of Mines & Technology
Account Number: 4051130000531

* Email slip of payment to conference@umat.edu.gh