China Venture Capital & Private Equity Forum 2007

Registration

China Venture Capital Forum 2007

Registration Form

To: China Venture Capital Forum 2007
TU427, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong
Tel: (852) 2766 4264 Fax: (852) 2764 2340
Email: aflesley@inet.polyu.edu.hk (Miss Lesley Yu)
(Please complete the registration form in English block letters and return via fax to (852)2764 2340 or mail to Tu427, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong)

Company Name:

Name (Mr./Ms.):

Title:

Address:

Tel:

Fax:

Email:

Additional Attendee:

Name:

Title:

Name:

Title:

REGISTRATION FEE: USD1000.00

Registration fee

Number

Total

Standard

USD1000

Discount*

*Total Amount USD

* Early Bird Discount - Registration completed on or before 15 January 2007 (10% discount)
* Academics - 50% discount

Registration is completed upon receipt of payment and is non-refundable.

Hotel Registration
(Please complete and send reservation form here to the hotel directly and identify yourself as forum participant. )
　 WUZHOU GUEST HOUSE
Address: No.6001, Shennan Rd., Shenzhen, P.R.China
Postcode: 518034
Tel: 0086-755-82938000
Fax: 0086-755-83831797
E-Mail: wuzhou@wuzhouguesthouse.com
Website: www.wuzhouguesthouse.com

PAYMENT
OPTIONS

Pay by check: Please post the check, accompanied with this form, to:
China Venture Capital Research Institute Limited
7/F., Li Ka-Shing Tower
The Hong Kong Polytechnic University
Hung Hom, Hong Kong

Pay by transfer: Please transfer funds to:
Account Name: China Venture Capital Research Institute Limited
Name of Bank: Hang Seng Bank Limited
Account Number: 222-050619-668
Bank Address: C210, The Hong Kong Polytechnic University
Hung Hom, Kowloon, Hong Kong
Bank routing number: HASE HKHH