Online Registration Form |
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Delegate 1 |
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Title |
Mr. Ms. Dr. Other |
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First name |
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Surname |
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Job Title |
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Email |
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Delegate 2 |
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Title |
Mr. Ms. Dr. Other |
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First name |
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Surname |
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Job Title |
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Email |
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Organisation Details |
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Organisation Name |
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Organisation Website |
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Address |
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City |
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State |
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Postal/Zip Code |
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Country |
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Tel |
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Fax |
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Payment Details |
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Standard:
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US$ 960 / RMB6,800 |
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Early bird (by March 25th)
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US$ 860 / RMB6,000 |
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I wish to register |
(number) of delegates |
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Total amount (USD /RMB) |
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Payment Methods (Please select one only) |
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Credit Card |
Visa Mastercard |
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(Visa and Mastercard in RMB is not accepted) |
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Card No. |
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Valid Through |
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Cardholder's name on card |
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Signature |
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Telegraphic transfer to: |
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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
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Cheque/Bank draft payable to China Europe International Business School |
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