Registration Form
Please fill out this form and FAX to AVAR secretarial office.
(Fax no. : 852-2587 8366 or 852-2834 3003)
Due date for registration is October 31, 2001

Name :
姓名:

Mr     Ms
Organization :
机构:
Title / Department :
职衔/部门:
Address :
地址:
TEL :
电话:
FAX :
电邮地址:
DETAILS   详情
Registration Fee :
会议费用(包括晚宴):

(including dinner)
Will you join the dinner on Dec 4? :
会否参加十二月四日之晚宴:
Yes, I will attend 我会参加
No, I will not attend 我不会参加
Are you a member of supporting organizations?
你是否支持机构的会员:

(If yes, 10% discount on registration fee) :
Yes, name of supporting organization,

No
Will you join the hospitality program on Dec 5? 你会否参加十二月五日的款待节目?(注1) :
(Note *1)
Yes, I will attend 我会参加
No, I will not attend 我不会参加
Method of Payment :
付款方法(注2):

(Note *2)
Money Order 汇票
Wire Transfer 电汇
Credit Card 信用咭
Credit Card Information :
信用咭资料:
If you pay by Credit Card, the service charge will be added to the registration fee. 若使用信用咭结帐,将另行收取附加费用。(Note *2)
Visa
Mastercard

Expiry Date :
有效日期:
Card Number :
信用咭号码:
Cardholder Name :
信用咭持有人:
Signature :
签名:
Amount to be settled :
总额: