China Europe International Business School
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  Health Care Management Forum > Registration
   
5 Easy Ways to Register  
     
 

Online Registration Form

Delegate 1  
Title Mr. Ms. Dr. Other
First name
Surname
Job Title
Email
 
Delegate 2  
Title Mr. Ms. Dr. Other
First name
Surname
Job Title
Email
 
Organisation Details
Organisation Name
Organisation Website
Address
City
State
Postal/Zip Code
Country
Tel
Fax
 
Payment Details (payment accepted in US dollars only)
Standard:
 US$ 800 / 6,200RMB
Early bird (by Aug. 5):
 US$ 700 / 5,400RMB
I wish to register of delegates
Total amount (US$ /RMB)
 
Payment Methods (Please select one of the following payment methods)
Credit Card Visa Mastercard
  (Visa and Mastercard in RMB is not accepted)
Card No.
Expiration
Cardholder's Name
Signature
 

Telegraphic transfer to:

 
Bank details for payment in USD
Bank:   China Merchants Bank Shanghai Branch Nan Xi Sub-Branch
Bank Address: 100 Nan Jing Xi Road Shanghai 200003 China
Account Name: China Europe International Business School
Account Number:1580425132001
Cheque/Bank draft payable to: China Europe International Business School
 
 
  
     
     
   
  Registration
   
 

Online Registration

Tel
+86-21-28905260

Fax
+86-21-28905273

E-mail
healthcareforum@ceibs.edu

Post
Ms. Tian Shan / 699 Hongfeng Road, Shanghai 201206, PRC
   
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