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

参会者:

姓名:                                            
部门名字:                                                      
通讯地址:国籍                                城市                      
街道                                     邮编                 
电话:                                  传真:                                     
陪同姓名:                                              
付款:
我已于                              日通过                                   
银行汇出                                                美元
我准备会议期间交纳                                美元
日期                                    签名:                                       

大会办公室在收到注册表及注册费后将予以确认。

讲 座

听课费

参加打√

第一单元

40$

第二单元

40$

第三单元

40$

第四单元

40$

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:

地 点

专题论坛

会后参观游览

备注

长 春

      

成 都

      

南 京

      

上 海

     

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:

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

帐户名称:国际传统医药大会

帐 号:043-144850-90

邮政汇款请寄:中国北京东直门内北新仓18号

邮编:100700

             国际传统医药大会(北京 2000)会务部 张丽芳 收

联系电话:(86)(10)64006777

传真:(86)(10)84026109


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

Lectures

Lecture Fee

Choice

Unit A

40$

 

Unit B

40$

 

Unit C

40$

 

Unit D

40$

 

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:

Cities

Special Topics

Post-conference Tour

Remarks

Changchun

      

Chengdu

     

Nanjing

     

Shanghai

     

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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