Welcome Message

Organizers & host

Final Program

Speaker Introduction

ACC Symposium

China -Japan Cardiovascular Forum

Tour Information

General Informatioan

Exhibition Booth Map

Exhibitors List

Online Registration Form

Download Registration Form
REGISTRATION FORM  

Please complete accurately and return this form before September 1, 2008 to GW-ICC Secretariat. Registrations by telephone WILL NOT be accepted. (For office use only)

Please print or write in block letters.

PARTICIPANT
Last Name: Middle: First Name:
Title:       Prof. Dr. Mr. Mrs. Ms.
Occupation:   Physician Nurse Technologist Engineer Marketing Education Other
Specialty:
Company/Organization (if applicable):
Institute/Department:
Mailing Address:
City: Zip Code: Country/Area:
Tel: Fax: E-mail:
Nationality:
Passport No.:
 
ACCOMPANYING PERSON
Full Name (Mr./Mrs./Miss) : Passport No./Nationality:
Full Name (Mr./Mrs./Miss) : Passport No. /Nationality:
 
REGISTRATION FEE
  Before Sep1, 2008 After Sep1, 2008 Person(s) = USD x Person(s)
Faculty / Lecturer Free Free
Full Participant USD300.00 USD350.00
Student/Resident/Nurse USD250.00 USD300.00
Exhibitor USD250.00 USD300.00
Accompanying Person USD200.00 USD250.00
One Day Participant USD200.00 USD250.00
      Subtotal 1 =  
* Pre-registration ends on September1, 2008. After this date, please register on site.  (Oct. 23~25,BICC)
HOTEL ACCOMMODATION   For hotel reservation Participant must send a one-day room rate as deposit.
Check-in Date: Check-out Date: Total Night(s):

Crowne Plaza Park View Wuzhou Beijing (5 Stars, Next to the International Convention Center)

 First please enter http://events.ichotelsgroup.com/DPRD-7FE6RJ/PEGPV to register, then we will send you the confirm link to finalize the reservation and payment.

Catic Hotel Beijing(prospective 5 Stars, 5 minutes walking distance to the International Convention Center)

 USD250.00 x Room (s) x Night (s): =

Beijing Continental Grand Hotel (4 Stars, Next to the International Convention Center)

 USD240.00 x Room (s) x Night (s): =
    Subtotal 2 =  
* I will share my accommodation with: FULL NAME 
AIRPORT TRANSFER INFORMATION FORM
Name    
Pick up(Y/N
Charge: 40 USD		 Arrival Airline&Flight No.  
Arrival Date&Time(AM/PM)  
Number of Person(s)  
Drop off(Y/N
Charge: 90 USD		 Departure Aireline&Flight No.  
Departure Date&Time(AM/PM)  
Preferred Drop off Time from your Hotel  
Number of Person(s)  
　             Subtotal 3 =
                                      

 I. Subtotal 1 + Subtotal 2 + Subtotal 3 = USD
II. (Subtotal 1 + Subtotal 2 + Subtotal 3)*4% bank surcharge = USD
Total Amount: I+II= USD

PAYMENT:
I have transferred the amount of USD to
Company Name: Beijing Zhongqiao International Travel Ltd.
Bank Name: World Trade Center Branch, Bank of China, Beijing
Account No：803514828908091001
Swift code: BKCHCNBJ110
Please remark: GW-ICC 2008
Please send us the Voucher of the telegraphic transfer by fax. (Fax number:86-10-88381733)
My Registration Form has been sent to GW-ICC Secretariat on: (date)
 
  


GW-ICC/ACC Program Secretariat Office Cardiology Division People's Hospital of Peking University
#11 Xi Zhi Men Avenue South, Beijing 100044, China
Tel: 86-10 8980-7029 86-10 8838-1733 86-10 8832 4726 Fax: 86-10 8838-1733
Copyright ©2005 GWICC