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国际传统医药大会(北京 2000)注册表
请把此表以印刷体书写或打印填好后寄回大会办公室
注册号:
截止日期:1999年12月31日
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参会者:
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姓名:
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部门名字:
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通讯地址:国籍
城市
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街道
邮编
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电话: 传真:
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陪同姓名:
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| 付款: |
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我已于 年
月
日通过
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银行汇出 美元 |
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我准备会议期间交纳 美元 |
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日期 签名:
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大会办公室在收到注册表及注册费后将予以确认。
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讲 座
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听课费
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参加打√
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第一单元
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40$
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口
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第二单元
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40$
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口
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第三单元
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40$
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口
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第四单元
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40$
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口
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我要求参加第 单元专题讲座,并交纳讲座费 $
姓名 通讯地址
会后京外专题论坛回执(4月26日--4月27日)
姓名:
职务:
通讯地址:
联系电话:
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地 点
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专题论坛
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会后参观游览
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备注
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长 春
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成 都
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南 京
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上 海
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备注:如参加会后专题论坛和参观游览者,请在该项目栏中划“√”。
以上三项费用请汇至:
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开户行:中国工商银行北京市分行东城区支行北新桥分理处
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帐户名称:国际传统医药大会
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帐 号:043-144850-90
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邮政汇款请寄:中国北京东直门内北新仓18号
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邮编:100700
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国际传统医药大会(北京 2000)会务部 张丽芳 收
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联系电话:(86)(10)64006777
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传真:(86)(10)84026109
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THE INTERNATIONAL CONGRESS
ON TRADITIONAL MEDICINE
(BEIJING 2000)
REGISTRATION FORM
Please fill in the form by typing
or printing in block letters and return it to the Secretariat.
Registration
No.:
Deadline: December 31, 1999
PARTICIPANT:
Name:
Institution:
Mailing address:
Street:
City:____________________________Postal code:________________________
Country:
Tel:
Fax:
Name of accompanying person(s):
PAYMENT:
I have paid __________$through_____________________on_________________.
Name of Bank Date
I am going to pay ____________$
during the congress.
Date: ________________ Signature:
___________________
Registration will be confirmed
when the registration form and the registration fee are received
by the Secretariat of the congress.
REGISTRATION FORM FOR POST-CONFERENCE
SPECIAL LECTURES
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Lectures
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Lecture Fee
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Choice
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Unit A
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40$
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Unit B
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40$
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Unit C
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40$
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Unit D
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40$
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I would like to participate
in __________Units of the special topics and pay _____$ as the lecture
fee.
Name: ________________ Mailing
Address: __________________________________________
FEEDBACK FORM FOR SPECIAL TOPICS IN OTHER CITIES
(APRIL 26 – APRIL
27)
Name: Titles:
Mailing address:
Tel:
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Cities
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Special
Topics
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Post-conference
Tour
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Remarks
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Changchun
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Chengdu
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Nanjing
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Shanghai
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Remarks: Those who would like
to join the post-conference special topics and tour, please draw
a tick "Ö " in the relevant column.
For all the above-mentioned
fees, please transfer them directly to:
International Congress on Traditional
Medicine
China Bank of Industry and Commerce,
Beijing Branch,
Dongcheng Sub-branch,
Beixinqiao Office
A/C No: 043-144850-90
For postal transfer, please
send to:
Zhang Lifang
Conference Affairs Department
International Congress on
Traditional Medicine (Beijing 2000)
No. 18 Beixincang, Dongzhimennei,
Beijing, 100700, China
Tel: (86) (10) 64006777 Fax:
(86) (10) 8402610
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