Payment form of ICoSTA 2020

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

You are required to fill out this form for payment of publication fees.
Images or scans of proof of payment can be attached to icosta2020payments@gmail.com.
For Student-Non IEEE members are required to attach a scan of their current student membership to icosta2020payments@gmail.com.
Early bird payments before December 20th, 2019

Name *

Email *

Telephone number *

EDAS ID (leave blank if you attend without a presentation)

Paper ID (leave blank if you attend without a presentation)

Title of paper (leave blank if you attend without a presentation)

IEEE membership number (leave blank if you don't have an IEEE member)

International participant

IEEE Member : 250 USD for regular payment

Non IEEE Member: 300 USD for regular payment

Student IEEE Member : 200 USD for regular payment

Student Non - IEEE Member : 250 USD for regular payment

Attendant (Without Paper) : 100 USD

Clear selection

Indonesian participant

IEEE Member : IDR 2.000.000 for regular payment

Non IEEE Member: IDR 2.500.000 for regular payment

Student IEEE Member : IDR 1.750.000 for regular payment

Student Non - IEEE Member : IDR 2.000.000 for regular payment

Attendant (Without Paper) : IDR 300.000 for early bird and payment before January 10th, 2020.

Attendant (Without Paper) : IDR 500.000 for regular payment

Clear selection

Clear form

Never submit passwords through Google Forms.

This form was created inside of Universitas Bhayangkara Surabaya. Report Abuse

Forms