China Venture Capital Forum

Northeast China Investment Summit 2006 Registration Form
To: Northeast China Investment Summit 2006 17/F, Jinrun Building, No.6019 Shennan Boulevard, Futian District, Shenzhen, China Tel: (86-755)82800091 Fax: (86-755) 82800031 Email: zhangwei@cvcri.com (Ms. Wei Zhang ) (Please complete the registration form in English block letters and return via fax to (852)2764 2340 or mail to M749, 7/F, Li Ka-Shing Tower, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong)
Company Name:
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Additional Attendee:
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REGISTRATION FEE: USD500.00
Registration fee per participant			Number of Participants	Total amountl
USD500
Hotel Registration (Please complete and send reservation form here to the hotel directly and identify yourself as forum participant.) 　　　MARRIOTT HOTEL, SHENYANG 　　　Address: 388 Qing Nian Avenue, Heping District, Shenyang, Liaoning, P.R.China 　　　Postcode: 110003 　　　Tel: 0086-24-23883456 　　　Fax: 0086-24-23880677 　　　Website: www.marriott.com.cn
is payment online		yes no
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