会议注册登记表
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Fourth Symposium on Global Emerging Environmental Challenges and Government Response Please Print Clearly. The form can be used for single person or a group with attached name list
請工整填寫,本表可用于個人或團體
Name 姓名: ________________________________________________________________
Affiliation 單位: _____________________________________________________________
Address 地址
: ______________________________________________________________ State 省: _________________________ Zip 邮编: _____________ Country 國家________
Phone 電話: _____________________ E-mail 電子郵件: _____________________________ REGISTRATION 登记 (Fee include lunches and dinners , symposium materials, site visit bus) (payment can be
made through check, money order, or bank wire, payable to “SCCAEPA”, no credit card) (費用包括午晚餐,以及會議資料和現場參觀交通)
Whole symposium 全部研討會 (8/18 –20) …………………………………………….………..$300/person X (…….) _______ Platform sessions only 仅參加會議 (8/18 and 8/20) ….………………………..…….……$200/person X (…….) _______ Site visit only 仅現場參觀 (8/19)……………….…………………………。….……………...……$100/person X (…….) _______ Special Conference & Workshop 專題會議(8/22—26) ………………………………...…….……$100/day X (…….) _______ Certificate 證書 (issued by Cal State University, San Bernardino, optional) .….....$50/person X (…….) _______
Payment with this registration form: _____ check, _____money order, _____bank wire, or ____pay at check in table 付款方式:______個人支票 ________現金支票, ___________銀行電匯, 或 _________參會登记处付款
SURVEY 問卷調查 (please select all the attended events)
___________ Whole symposium 全部研討會
___________ Platform session only 仅參加會議
__________ Field trip only (pick only one) 仅現場參觀 (每人只可以選一條路線)
___________ Field trip 1 (8/19) 參觀路線 1
___________ Field trip 2 (8/19) 參觀路線 2
___________ Field trip 3 (8/19) 參觀路線 3
___________ Field trip 4 (8/19) 參觀路線 4
___________ Special Conference & Workshop 專題會議
_______ Day 1 (8/22) 第一天
_______ Day 2 (8/23) 第二天 (現場參觀)
_______ Day 3 (8/24) 第三天
_______ Day 4 (8/25) 第四天 (現場參觀) _______ Day 5 (8/26) 第五天
Please mail or fax the registration form to 請郵寄或傳真此表至:
Mr. David Lin
25 E. Wheeler Ave., Suite F, Arcadia, CA 91006, USA Phone : (626) 446-0916 Fax: (626) 446-0925 E-mail :sccaepa2011@
7 會議注册登記表 Registration Form Registration Fee Waiver
Invited VIP ______ Volunteer _____ SCCAEPA Lifetime member 南加州華人環保協會終身會員
______