Registration Form

TEL: (8610) 63971955 FAX: (8610) 63971647

Email: Contact: Mr. Pei Lishuang

Company Name
Address / P.O.Box
E-Mail / Delegate number
Interested Metals / In□ Bi□ Ge□ Ga□ Se□ Te□ Re□ Cd□ others□
Company Type / mine□ smelter□ process□ investment and trade□ research□ media□ futures and securities□ others□
Registration Fee / Before Nov.11 (included) / ______delegate ×USD 1,000/person=______USD
After Nov.11 / ______delegate ×USD 1,200/person=______USD
Name of Delegate / Title / Telephone / FAX / E-mail / Visit(Yes/No)
Total fee (USD)
Hotel Reservation for Holiday Inn Chengdu Qinhuang (payment on arrival) / Superior double bed room / (RMB 540 per day for every room)_____ room (breakfast included) / Stay from ______to ______
Superior king size room / (RMB 540 per day for every room)_____ room (breakfast included)
Note: Hotel reservation is valid from the date of receipt of the registration fee. The reserved room will be held till 18:00 on the day, and please contact with the meeting group in advance, if there is any change, otherwise, reservation will be cancelled. Your support will be appreciated.
□ Please send me an invitation letter for getting visa.
Nationality Passport No.
Issuing Authorities of the Passport
I will stay in China from to
Have you ever come to China? □Yes □No
Remember: Please attach a scanning copy of your passport.
METHODS OF PAYMENT
□Pay on spot
Pay through bank
Please send me an invoice
Bank of America, N.A. New York Branch
CHIPS ABA NO: / CP0959
FEDWIRE NO: / FW026009593
SWIFT ADDRESS: / BOFAUS3N
For credit to
CHINA CONSTRUCTION BANK
BEIJING BR. JINANSUBBR.
SWIFT CODE: PCBCCNBJBJX
For credit to Beneficiary
Account Number: 1100 1029 2000 5606 5199
Beijing Antaike Information Co., Ltd
7th Floor, No. 31 Suzhou Street, Haidian District, Beijing, China

Conference Contact:

Mr. Pei Lishuang

TEL: (8610) 010-63971955

FAX: (8610) 63971647

Email:

Website: www.chinainbige.org www.chinagasete.org