| Registrant's information: |
| Title |
* |
|
| Last Name (Surname) |
* |
|
First Name (Given Name) |
* |
|
| Organization / Affiliation |
* |
|
| Address |
* |
|
| City |
* |
|
State / Province |
* |
|
| Country |
* |
|
| Postal / Zip Code (if any) |
* |
|
Telephone Number |
* |
|
| E-mail |
* |
|
Fax Number |
* |
|
|
|
| Paper information (if applicable): If there are multiple papers, please use the semicolon(';') to separate the relevant information. |
| Paper number |
* |
|
| Title of your paper |
* |
|
| Authors of your paper |
* |
|
|
|
| Other information: |
|
I am a vegetarian |
|
I have special dietary requirements
|
|
|
| Registration Types: Author/Regular/Student Registration covers all sessions, Registration fee include Opening ceremony, closing ceremony, keynote speeches, paper sessions, reception, welcome banquet (June 29), refreshment, three lunch coupons on June 29-July 1, two dinners on June 30-July 1, conference proceedings, program booklet and Address list. Please select one between Type A and Type B. All queries about registration should be addressed to the symposium desk (info@.iCSDM2011.org) |
| A. Early Registration: To qualify for the following rates, your registration must be received before May 22, 2011. |
|
|
| B. Late and On-site Registration: Register after May 22 before June 28, 2011. |
|
|
| C. Additional Items and fees (optional): The following items can be requested with your registration. |
|
|
Registration fees including optional items once paid are not refundable. |
|
|
| ICSDM 2011 Hotel Reservation: All participants should make their reservations via this form. We offer rooms in the following hotel located at the conference venue at a reduced rate. All room reservations are first-come-first-served. This is for only your reservation not payment. Payment should be settled at the time of checkout. |
| Room Type |
Room Rate (per night) |
| Deluxe Suite |
758 RMB (Breakfast included) |
| Standard Room (1 person) |
328 RMB (Breakfast included) |
| Standard Room (2 persons) |
328 RMB (Breakfast included) |
|
| Reservation Information: |
| Room Type: |
|
|
Non-smoking
Smoking
(You can request a non-smoking/smoking room. But it may not be guaranteed.) |
| Arrival: |
of night(s) |
| Departure: |
|
| Remark: |
|
| Name of the other guest must be filled in if you stay in a twin room. |
| Gender: |
|
| Last Name (Surname): |
|
First Name (Given Name): |
|
|
|
ICSDM 2011 Travel Reservation:
Three-day sightseeing tour of Wuyi Mountain (UNESCO World Heritage site, both natural and cultural) is available. Days: July 2-4,2011.
Please indicate below you will participate in the post conference tour and pay the full expense (US$ 300/2000RMB):
|
|
Yes, I am interested in the tour.
|
|
Thank you, I am not interested in the tour.
|
| Name of the guest(s) must be filled in if you want to bring a guest to the tour. |
| Gender: |
|
| Last Name (Surname): |
|
First Name (Given Name): |
|
| Remark: |
|
|
|
|
|