Name
Job Title / Country
Company
Tel. No.
Registration / Yes, I would like to register for the MTSC training course, and confirm that I have read the agenda.
* Note: Open to official Moxa distributors only
NOTE: I know that I should study all materials on: http://www.moxa.com/Event/Group/2012/MTSC/MAT/learning.htm
before travelling to the MTSC forum.
This year’s MTSC training will be held at:
Taipei Innovation City Convention Center
2F., No.223, Sec. 3, Beixin Rd., Xindian Dist., New Taipei City 231, Taiwan
MOXA will provide daily transportation between the hotel and the training siteAccommodations / Please book a room for me at the LAKE HOTEL for 3 nights (Jan. 10, 11, 12). I agree to pay room rate shown for my room choice below.
Please book a room for me at the LAKE HOTEL for 4 nights (Jan. 9, 10, 11, 12, ). I agree to pay room rate shown for my room choice below.
Select one of the following room types.
Lake View Single / Appro.
USD 76.
(incl.VAT)
Per day /
Grand View Suite / Appro.
USD 84
(incl.VAT)
Per day /
Executive King / Appro.
USD 92.
(incl.VAT)
Per day /
Executive Twin / Appro.
USD 96.
(incl.VAT)
Per day /
Sweetie Suite / Appro.
USD 108.
(incl.VAT)
Per day /
Please use the “Additional Comments” box below to list special requirements.
Pick-up Service / We will arrange pick-up service for you free of charge from the airport. Please provide us with your flight information.
Yes, I would like MOXA to arrange pick-up service from the airport.
Arrival Flight Information
Flight Number: ______
Arrival Date: ______
Arrival time: ______
Departure Flight Information
Flight Number: ______
Departure Date: ______
Departure Time: ______
No, I do not need pick-up service.
Additional Comments / Thank you for filling out this form. The information you provide will assist us in arranging the course.
Please fill out the registration form and email it to , thank you.