Third Hong Kong Web Symposium Registration Form


My name in full, surname first
Title Mr. Ms. Dr. Prof.

E Mail URL

Organization (if applicable)

Address for correspondence

Country

Telephone Fax


Note: If you are a school teacher or school/post-secondary/university student or staff of HKU or HKIEd, then you are entitled to a special reduction in the registration fee, but you would need to provide your staff/student ID (if applicable), full institutional name, address, etc. in the boxes below:

Staff/student ID:

Name of Institution:

Address:

Telephone: Fax number:

If you are a national of the People's Republic of China, you are also entitled to a special discount. You should, as soon as possible, fax a letter (written in Chinese or English) addressed to Angela Castro -- fax no: (852) 2858 4327 -- to request an invitation to be sent to you to help you apply for a visa. Please include in your fax a copy of the relevant pages of your PRC passport or national identity document and the acknowledgment of your Web Symposium registration form (which you will see after pressing the 'Submit Registration Form' button below).


I wish to register as follows:
Description
Number ofAmount to be paid:
Symposium Registration fee: HK$1,200. [Special discounts: $500 for school teachers, school/postsecondary/university students and PRC nationals; $800 for staff of the University of Hong Kong and the HK Institute of Education.]
$
Workshop fee: HK$500* each. Please indicate below which workshops you wish to attend:
#1 #2 #3 #4 #5 #6 #8 #9
Details of the workshops may be found in the program
. [*$400 for staff of HKU and the HKIEd ]
workshops $
Night tour (including dinner) : HK$400 per head persons $
Boat tour (including dinner) : HK$400 per head persons $
Total amount (please calculate and enter correct amount) $



Payment method:

By cheque/bankdraft/money order By wired transfer By Visa

Further instructions on method of payment chosen will be provided after you have pressed the "Submit Registration Form" button.


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