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TISC2010
Jun 24-27th 2010 Beijing
Registration Form
I. Participant (Print your name as you wish it to appear on your badge)
1.
Pro.
Dr.
Mr.
Ms.
Other
Given Name:
*
Family Name:
*
Department:
*
2.Please staple your business card to the Form if it reflects your correct contact information. Otherwise, please print
below:
Street Address:
*
City/State:
*
Postcode:
*
Country:
*
Email
:
*
(Incl. country & city code) Tel:
*
II.Accompanying Persons or Children
Mr.
Ms.
Mrs. Passprot Nr. :
Mr.
Ms.
Mrs. Passprot Nr. :
III.Registration
Registration fee on-site registration :
US$500
Registrant's name
*
Other request
-
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