Secretariat Use Only
Form Ref:
/ /
Ref: UTI-P001 v5

Free Publication(s) Order Form

Contact Details

Name: (English) (Chinese)

Tel : (Office)(Mobile)(Fax)

Email :

Company Name: ______

Position: ______

Correspondence address :

Membership no. (if any): *CCPDC / HKIUS

I would like to request and order for the following item(s):

Publication(s)** Please refer to P.2 for the code of disciplines / Qty per
set / Required
Qty
1. Particular Specifications fordisciplines A-E / (5in1)
2. Method Statements fordisciplines A-E / (5in1)
3. Work Procedures fordisciplines A-E / (5in1)
4. Guidelines fordisciplines A-M (except PM, only 1 set can be offered
to each corporation) / (12in1)
5. Pamphlets fordisciplines A-M (except PM) / (12in1)
6. Forms for disciplines A-E / (5in1)
7. CD for item 1 to 6 listed above / 1 no.
8. Conference Paper Proceeding for “The International Conference on
Utility Management and Safety”
- *1st ICUMAS 2009 / 2nd ICUMAS 2011 (please delete as appropriated)
Delivery : Free for self pick up
Donation to support our further development, for interest parties, please issue cheque and payable to “UTI (International) Ltd.” / $

Mailing address(Please complete if different from the contact details, postage will be paid by recipient) :

*Please tick as appropriate

My mailing address is the same as the contact details.

I accept UTI to use my personal data for mailing, billing, training and event promotion.

Name: (English) (Chinese)

Tel : (Office)(Mobile )(Fax)

Email :

Company Name: ______

Correspondence address :

Signature

Thank you for your order! You will be contacted asap.

For whom who want to order publications that is published on / / please complete and return this order form.

For non-priced items, postal fee is excluded but it’s free for self pick-up.

For priced items, HKIUS member will enjoy a discount of 30%off excluding postal fee.

Please complete this form and fax to (852) 2618 4500 or mail to the address below :

Address:

Suite 209, 2/F., Favor Industrial Centre, 2-6 Kin Hong Street,

Kwai Chung, New Territories, Hong Kong

Tel: + (852)-2690 3899 Fax: + (852)-2618 4500

 Email: