Please send this registration form to us via Fax or Email. |
A. Personal Information
| Title: | Prof. [__] Dr. [__] Mr. [__] Mrs.[__] Ms.[__] |
| Family Name | |
| Given Name | |
| Department | |
| Organization | |
| Permanent Address |
|
| Country | |
| City | |
| Tel | |
| Fax | |
| Accompanying Person Name |
B. Events Registration
Please check the events you are registering for :Registration |
||
Advance on or before Sept. 10,1999 |
||
Regular |
Conference |
US$450 [__] |
Tutorial (half day) |
US$150 [__] |
|
Tutorial (full day) |
US$250 [__] |
|
Conference + Tutorial (half day) |
US$550 [__] |
|
Conference + Tutorial (full day) |
US$650 [__] |
|
| Student | Conference |
US$250 [__] |
Tutorial(half day) |
US$100 [__] |
|
Tutorial (full day) |
US$150 [__] |
|
Conference + Tutorial (half day) |
US$300 [__] |
|
Conference + Tutorial (full day) |
US$350 [__] |
|
Late after Sept. 10, 1999 |
||
| Regular | Conference |
US$550 [__] |
Tutorial(half day) |
US$180 [__] |
|
Tutorial (full day) |
US$300 [__] |
|
Conference + Tutorial (half day) |
US$680 [__] |
|
Conference + Tutorial (full day) |
US$800 [__] |
|
| Student | Conference |
US$300 [__] |
Tutorial(half day) |
US$130 [__] |
|
Tutorial (full day) |
US$200 [__] |
|
Conference + Tutorial (half day) |
US$380 [__] |
|
Conference + Tutorial (full day) |
US$450 [__] |
|
| Extra
Dinner for accompanying persons : US$50/person [__] persons(number of persons) |
||
Notes:
TOTAL Events Registration : US$ ___________
C.Method of Payment
All registration payments should be in U.S. dollars, Bank transfer isC.1 Bank Transfer
Account Name: FORTE/PSTV'99 (Wu Jianping)
Account Number: 4080000-0188-047273-4
Bank of Deposit: Bank of China City Branch
Address of Bank: Beijing Hai-dian Sub-branch
No.100, Zhichun Road, Beijing, China
Note:
C.2 Credit Card
On-site payment for the conference registration and local tours
will be accepted online the form of travels'checks in U.S.dollars.
| Visa Card [__] | Diners Club [__] | JCB [__] | |
| American Express [__] | MasterCard [__] | ||
| Credit Card #: | Expiration Date: | ||
| Signature: | Date: | ||
D. Contact Point
Mail to: |
Jianping Wu (FORTE/PSTV
กฏ99) |
Tel: |
86-10-62788109 |
Fax: |
86-10-62788109 86-10-62785983 |
E-mail: |
|
URL: |
| RTF File(in Word97) | DOC File(in Word97) | TXT File | PS File |