INTERNATIONAL SOCIETY OF SUGAR CANE TECHNOLOGISTS

 International Sugarcane Biomass Utilization Consortium (ISBUC)


ISBUC FORM
 

    Please type and tick boxes where necessary, then select all, paste in Word, save and send the form to the 
    ISSCT Secretariat together with your Contribution as indicated overleaf and a copy as E-mail
    attachment to the ISBUC Co-ordinator (E-mail: PRein@agcenter.lsu.edu)

 

     NAME OF ORGANIZATION 

     ADDRESS:
                 

 

_   Country: 

 

     Phone: Fax:
E-mail: 

     Website:
 

TYPE OF ORGANIZATION (Select only one):

Producer Company

Research Centre

 Technical/Advisory Service

or Owner/Investor   

Field                     Field                                
Plantation         Factory                Factory                                
Milling               Co-Products        Co-Products                       
Both                            
Co-Products               
           
Association of Producers Technologist Association Sugar Industry Supplier
    Other:  State:-
______________________		   Government or
Educational/University
Institution		 ___________________   Private               

 

 

      CONTACT PERSON:

       (Give co-ordinates if different from above)

 

       TECHNICAL REPRESENTATIVE:

       (Give co-ordinates if different from above)

 

       MEMBERSHIP OF ISSCT:

        AFFFILIATED           ASSOCIATION            INSTITUTIONAL         CORPORATE   

                                                                 

     GIVE A BRIEF ACCOUNT OF ORGANIZATION’S INVOLVEMENT IN:

 

         1. Sugar Cane/ Sugar Research in general:       
                 
   
 

     2. Research in Biomass Utilization:

    

    

 

     3. Participation in Joint Research or Consortia:

    

      
 

     4. Existence of any Restrictive Agreements in relation to (3):

    

    


AMOUNT OF CONTRIBUTION IN USD

 

       USD: 

               

 

     Date submitted:      Signatures:

                 Contact person:

                                                                             Technical Representative:

 

  

PAYMENT OF CONTRIBUTION

 

     Payment must be made in US Dollars by Credit Card, bank transfer or bank draft.
 

CREDIT CARD PAYMENT

In case of payment by Credit Card, the following information must be submitted:

Name of Card Holder (as it appears on the card):
Credit Card type (Visa, Master, AMEX, etc...):
Card No.:
Date of Expiry:
Signature of Card Holder:
 

Indicate also the C V C or C V V  i.e. the last three digits on the banner at the back of your card. 

 

 

 BANK TRANSFER DETAILS:

 

Bank and Wire transfer or bank draft must be made to the order of:

 

 ISSCT SECRETARIAT - A/C ISBUC

Account No. : 14-0517219

SWIFT CODE: MCBLmumu

IBAN-MU15MCBL0914000000517219000USD 

THE MAURITIUS COMMERCIAL BANK

Réduit

MAURITIUS 

 

In case of bank transfer, it is essential to quote the details. Application forms must follow immediately.

 

Please note that all bank charges are to be met by the Applicant, i.e. 3.5% for Credit Cards and USD 4.00 for a Bank Draft. In case of transfer, ALL charges must be paid at source.

 

Bank draft must be sent together with the Application form by registered post to:

ISSCT Secretariat

97 Georgetown Bldg

St Jean Road

Quatre-Bornes

MAURITIUS

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