8th International Conference on Electronic Commerce Research
REGISTRATION FORM (USA Dollars)
          Dates: June 9-12, 2005
           GAMMARTH, Tunis
                                                 Date:________________
 Name:___________________________________________Title:_______________
 Affiliation:_________________________________________________________
 Address:    _________________________________________________________
             _________________________________________________________
             _________________________________________________________
 Phone: _________________________________ FAX:________________________
 E-mail:______________________________________________________________
 Title of Paper(s), if applicable:____________________________________
 _____________________________________________________________________
 _____________________________________________________________________

Registration Rates:     Academic   Industry   Corporate   Last Applicable

                                              Rate             Rate        Rate            Date
                                              ----------        ----------     -----------      -----------------
Registration (regular)         $ 500          $ 850       $2,000        Before April 1
On Site Reg. (regular)        $ 650          $ 1,000    $2,500        After April 1
Spouse                                $ 250          $ 250

NOTE: One regular registration fee must be paid for each paper presented.

 
For the rate to apply, the check or the fund transfer must be received by the Applicable date.

Regular participants: Receptions, Dinners, breakfasts, Lunches, Cultural activities and a

copy of the conference proceedings are included in the registration fee.

Spouses: Reception, Lunches, Dinners and Cultural activities

 
PAYMENT METHOD:
[ ] Check or Money Order   No.:_________    Amount:______________
Checks should be made payable to:ATSMA, ICECR8 
Mail your registration form and check to:
ATSMA
P. O. Box 600068
Dallas, TX 75360-0068, USA
If you wish to pay by Credit Card, 
[ ]VISA  [ ]MasterCard  [ ]American Express   Amount:______________
 Card No.:_______________________    Expiration Date:______________
      Authorized Signature:_______________________________________
 If paying by credit card you may fax (or mail to ATSMA address above) your registration forms to:
Professor Bezalel Gavish
Fax: (775) 860-7130 or email to
gavishb2000@yahoo.com
Refund Policy: Half refund for requests received by April 10, 2005. 
               No refund after April 10, 2005.