IMMC7 Conference Registration Form

CONFERENCE REGISTRATION FORM (CRF) Registration No. Name SURNAME: Ms. Title: Prof. Ph.D. M.Sc. B.Sc. Organization...

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CONFERENCE REGISTRATION FORM (CRF) Registration No. Name SURNAME:

Ms.

Title:

Prof.

Ph.D.

M.Sc.

B.Sc.

Organization/Institution: Postal Address: ZIP code-City, Country: Phone:

Fax:

E-mail:

I will come to Beijing by: bus/car

plane

Date of arrival:

/

ship

/

rail Date of departure:

/

/

I will participate at the 7th IMMC as: Before July 25th,2013

Category

After July 25th ,2013

Regular participant

415(USD)

485(USD)

Young scientist

295(USD)

365(USD)

Accompanying person

295(USD)

365(USD)

Name: Meal fees: USD288 for all attendees

Total:

(USD)

Conference fee I will pay:

through International bank transfer through bank transfer at the conference registration in IMMC7- cash payment (in RMB only)

Mr.

Traveler's cheque and credit card we cannot accept. IMPORTANT: Please indicate clearly your name and surname / institution for whom the payment is paid.

Please refer to the following Bank information: Beneficiary:Rhythm Glory (Hong Kong) Limited Beneficiary’s Bank: The Hong Kong and Shanghai Banking Corporation Limited Hongkong Address: 1queen’s Road Central,Hong Kong A/C No: 848-188462-838 Swift BIC:HSBCHKHHHKH

Please take a copy of Conference registration form and payment together with you for verification. Please inform us in advance if you cannot attend The IMMC7 due to some reason. If any questions, please refer to the contact information as follow: Mr. Douglas Zhao Staff of Registration Group, IMMC7 Tel: +86-10-87109859, 87109860 Fax: +86-10-87109861 Mobile: +86 13910657921 E-mail: [email protected]

Notice: Please return the completed form by July 25h 2013 to E-mail: [email protected]