REGISTRATION FORM
HOTEL & TOUR BOOKING FORM
Registration through Internet is available after Feb. 22, 2004. Wait Please!
(Please fill in BLOCK Letters)
1. DELEGATE:
Prof/Dr/Mr/Mrs/Ms..............................................................................................................................................
First Name
Last Name
 
Name you wish to appear on badge:......................................................................................................................
Accompanying person:
ฃ ฃ ฃ ฃ ฃ 1. Mr/Mrs/Ms ........................................................................................................(Name/Passport)
 
ฃ ฃ ฃ ฃ ฃ 2. Mr/Mrs/Ms ........................................................................................................(Name/Passport)
 
Affiliation/Organization/Institution...........................................................................................................................
 
..................................................Position:...............................................................................................................
 
Mail Address:........................................................................................................................................................
 
City:.............................................Code:..............................................Country:.....................................................
Tel:...............................................Facsimile:........................................E-mail:........................................................
2. PASSPORT DETAILS
Passport No:...............................Date of Issue:....................................Date of Expiry:...........................................
 
Place & Country of Issuing Authority:...................................................Date of Birth:..............................................
3. DELEGATE REGISTRATION: (Please tick)
 
Members:กกกกกกกกกกกกกกกกกกกกกกกกUS $ 400กกกกกก
 
Non-Members:กกกกกกกกกกกกกกกกกกกกUS $ 500กกกกกก
 
Accompanying person: กกกกกกกกกกกกกกUS $ 200กกกกกก
4. Hotel required: (Please tick)
Occupancy:กกกกกกกกกกกกกกกกSingleกกกกกกกกกกกกกกกกกกDouble
 
No of rooms:...................Check-in date:....................Check-out date:.....................No of night:.............................
 
Flight Details:.........................................................................................................................................................
 
Arriving from:...................Flight No:............................Date:....................................Time:......................................
5. Payment Details: (Please tick)
ฃ ฃ  Cash
 
ฃ ฃ  Credit card(visa only)
 
ฃ ฃ ฃ ฃ Card No: ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕ก๕
 
ฃ ฃ  Telegraphic Transfer
กกกกกกกกAccount Name: China Legal and Academic Exchange Center
กกกกกกกกAccount No: 848201090218-66
กกกกกกกกBank: Jinrongjie Branch of the Beijing Commerce Bank
กกกกกกกกNOTE: All the telegraphic transfer must be sent before April 20th, 2003.
6. Special Request
 
.............................................................................................................................................................................
 
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7. Map of the Galaxy Hotel
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Email: website@chinalawsociety.com
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