2008澳門世界中醫藥大會

世界中醫藥學會聯合會

澳門中醫藥學會

2008澳門世界中醫藥大會報名表格
Congress Registration Form
預先報名截止日期:　2008年07月31日　Pre-Registration Deadline: 31 July, 2008

請把表格填好, 連同付款, 並以電郵或傳真方式交還到秘書處：地址：中國澳門南灣街四百零五號中國法律大廈四樓C座，電話：(853)-28329449，傳真：(853)-28330980，(853)28217510，電郵地址：info@2008ictm.com，網址：http://www.2008ictm.com
欲知詳情, 請聯繫林日初醫生，電話: (853)2871 0058或馮上柱醫生, 電話: (853)2821 7510 ，內地報名咨詢處：北京市朝陽區小營路19號財富嘉園A座505室，郵編：100101，電話：86-10-58650042 / 58650242，傳真：86-10-58650043 / 58650041，
電郵：wfcms2007xshb@163.com , wfcmsxshb@yahoo.com.cn，聯絡人：李進、鄭泓川、朱曉磊。

Please complete and return this form via mail or fax, along with payment, 2008 International Congress of Chinese Medicine,Macau Secretariat, Address: Avenida da Paria Grande No. 405, 4/F, BLO-C, Edif. China Law Building,
Macau, SAR, CHINA
Tel. : (853)-2832 9449 ,Fax. : (853)2833 0980 or (853)2821 7510, E-mail: info@2008ictm.com
Web:http://www.2008ictm.com. For enquiries, please contact Dr. Lam Iat Cho at Tel: (853) 2871 0058 or
Dr. Fung Sun Chiu at Tel: (853) 2821 7510 or Email: info@2008ictm.com.

與會者資料 Participant’s Details　　　　　　　請填上所有空格Please complete all fields
教授Prof/ 醫師Dr./ 先生Mr/ 女士Mdm/ 小姐Ms ( 請圈其一Please circle one )

名 (英文)First Name:

姓 (英文) Family Name:

中文名稱 Chinese Name:

職務 Designation:

機構 Organization:

地址 Address:

城市 City:

省 State:

國家 Country:

電話 Tel:

傳真 Fax:

電郵 Email:

論文題目 Topic Of The Paper:

與會者收費(美金) Delegate Fee(USD)

2008年7月31之前
Before31 July,2008
750美金 USD 750

2008年7月31日之後
31 July,2008 onwards
780美金 USD 780

會議費包括: 350美元註冊費、住宿、餐飲、與會費、澳門世遺景點半天遊、澳門地區內交通費、論文集、紀念品費用
Registration fee includes：USD 350 Registration fee, accommodation, meals, delegate free, sightseeing, transportation in Macau, papers, souvenirs.

付款方式Methods of Payment
報名只能在接收付款之後受確認。Registration is confirmed only upon receipt of payment.

銀行匯款Telegraphic Transfer

戶口名稱 Beneficiary Name

戶口號碼 Account Number
地址 Beneficiary Address
銀行名稱 Bank Name
銀行地址 Bank Address

銀行電匯代碼 Swift Code

:ASSOCIACAO DOS INVESTIGADORES, PRATICANTES E PROMOTORES DA MEDICINA CHINESA DE MACAU
:101-1-11586-7
:Av. Infante D. Henrique, No:24, Macau SAR, CHINA
:TAI FUNG BANK LTD.,MACAU
:418 Alameda Dr. Carlos d'Assumpcao Macau SAR, CHINA
:TFBLMOMX

請將匯款收據, 連同報名表格一起附上. Please attach the transfer slip together with the completed Registration Form. 切記Important Notes: 1.報名確認書Confirmation of Registration
	一但接收付款, 秘書處將於7個工作天內,以電郵或傳真方式將確認書發給與會者。報名費不包括銀行行政與辦理費。 This will be issued by email or fax within 7 working days upon receipt of full payment. Registration fee does not include bank administrative charge for bank draft and telegraphic transfer
2.取消或轉移報名Cancellation and Transfer
	若與會者無法出席大會, 可於2008年7月31日之前委任代替者。若於7月31 日之前以書面通知取消報名, 將可獲得退款 ( 扣除10%行政費 )。 If you are unable to attend, a substitute delegate may be nominated by 31 July, 2008. A refund, less 10% administrative charge, will be given if cancellation is received in writing by 31 July, 2008. No refunds will be made for cancellations received after 31 July, 2008.
我有意參加展銷, 請提供詳情。　I am interested to participate in the exhibition. Please send me more information.

簽名Signature:

日期Date: