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2008澳門世界中醫藥大會報名表格 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 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, 與會者資料 Participant’s Details 請填上所有空格Please complete all fields |
| 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 付款方式Methods of Payment 銀行匯款Telegraphic Transfer |
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| 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: |
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| 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 |
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| 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. |
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我有意參加展銷, 請提供詳情。 | 簽名Signature: | 日期Date: | ||
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