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Payment
The required fields are marked by *
*
Salutation:
Mr
Ms
*
Family Name:
*
First Name:
*
Title:
*
Fleece Vest:
Women's Size(All sizes in cm)
Size Range
Height
Bust
S
165
88-91
M
170
92-95
L
170
96-99
Men's Size(All sizes in cm)
Size Range
Height
Bust
M
170
92-95
L
175
96-99
XL
180
104-107
*
Corporate
Hotel
*
Hotel Name:
Address:
Postal Code:
City:
Country:
United States
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Nations
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea (North)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
*
Email Address:
Tel:
*
Mobile:
Assistant's Details(Optional)
Name:
Tel:
Email:
Hotel Accommodation
(Payment will be made directly to the Hotel upon check-out)
Yes I need hotel accommodation at
Holiday Inn Shanghai West.
Room rate: RMB500 net per room per night
(include one daily buffet breakfest and internet access)
Holiday Inn Express Shanghai New Hongqiao.
Room rate: RMB308 net per room per night.
(include one daily buffet breakfest and internet access. Shuttle bus
will be provided from Holiday Inn Express Shanghai New Hongqiao to
Holiday Inn Shanghai West.)
No,I do not need hotel accommodation.
*
Check-in date:
*
Check-out date:
Non-smoking room:
yes
no
Nationality:
United States
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Nations
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea (North)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
For Chinese Nationals:
Chinese ID Number:
For Foreigners:
Passport Number:
Passport Expiry Date:
Airport Transfers:
Yes,I need airport transfers.
No,I do not need airport transfers.
Please select your airport transfer option. Rates apply for both Hongqiao Airport and
Pudong International Airport
Hongqiao Airport
Pudong International Airport
Buick GL8
RMB350.00 per car per transfer
Audi A6
RMB230.00 per car per transfer
Buick GL8
RMB500.00 per car per transfer
Audi A6
RMB450.00 per car per transfer
Vehicle offered
Buick GL8
Audi A6
Arrival date:
Arrival flight no:
Airport Terminal:
Terminal 1
Terminal 2
Arrival time:
Departure date:
Departure flight no:
Airport Terminal:
Terminal 1
Terminal 2
Departure time:
If you have not confirmed your flight details, please email to
s_mleadersmeeting@hldevents.com
once confirmed in order for us to arrange your airport transfers.
*
The total cost of your participation(RMB6,800.00) will be reflected
in your cost center.
Please enter your cost center code:
The total cost of your participation fee: RMB 6,800.00.
Please make your payment to the following bank account
before 07 November 2011
.
For RMB
Bank Account Name: 睿态公关顾问(上海)有限公司
Bank Name: 中国建设银行上海市延平路支行
Bank Account:3100-1610-5090-5000-9733
For Foreign Currency
Bank Account Name: 睿态公关顾问(上海)有限公司
Bank Name: 中国建设银行上海市静安支行
Bank Account Number: 3100 - 1610 - 5090 - 5000 - 9733
Fa Piao Information
*
Name to be reflected on the Fa Piao:
(Chinese only)
*
Mailing Address:
(Chinese only)
*
Postal Code:
*
Person-in-charge:
*
Tel:
Please send us a copy of the payment slip at
s_mleadersmeeting@hldevents.com
or
fax: +021 6083 1117. Please indicate your full name on the payment slip.
*IMPORTANT: An official receipt (fa piao) will be sent to you upon receipt of payment.