reg_hk_eng
¡§Embracing New Challenges : Women in Action¡¨
19th ¡V 22nd December 2003
Venue: Hong Kong Baptist University
Forum
Registration Form
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Please TYPE or PRINT in BLOCK LETTERS and return this form to the Forum Secretariat:
Room 09, 17/F., Prosper Commercial
Building, 9 Yin Chong Street, Kln, Hong Kong
Tel: (852) 2374 1268 Fax: (852) 2396 6465 E-mail:
info_5eawf@genesismarketing.com.hk
Website: www.eawf.org
Personal Information |
Please type or print
in block letters and ¡§¡Ô¡¨ where appropriate
Surname: Mr / Ms
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Given Name:
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Position:
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Organization:
___________________________________________________________________________________________ |
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Badge Name, Title and Organization: (Name exactly as you wish it to be
on your name badge; limit to 50 characters.) |
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______________________________________________________________________________________________________ |
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Mailing Address: |
______________________________________________________________________________________
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Tel: _________________________ |
Fax: ________________________ |
E-mail:
____________________________________ |
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Emergency Phone Number:
____________________ |
Contact Name:
____________________________________________ |
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Areas of concern |
Please check the boxes to indicate the programs you would like to join.
19/12 (Fri) |
20/12 (Sat) |
21/12 (Sun) |
22/12 (Mon) |
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Other Services Requested |
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Travel
with wheelchair? |
¨ No |
¨ Yes |
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Rehabilitation bus service required? |
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No |
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Yes |
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Simultaneous interpretation service required: |
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Cantonese |
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Putonghua |
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English |
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Other request,
please specify:
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Local tour Arrangement |
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Tour & NGO Visit |
Tour A
Women & Housing in HK Sight visit to public & private
housing estate |
Tour B
Women & Food in HK ¡§Food & Culture¡¨ |
Tour C
Women & Consumption in HK Experience the glamour of shopping paradise
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Date |
4:30-8:30 p.m. 21/12/2003 (Sunday) |
2:30-6:30 p.m., 22/12/2003 (Monday) |
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Tour Fee |
HK$80 (Afternoon tea set inclusive) |
HK$60 (Afternoon tea set inclusive) |
HK$60 |
Description |
Visiting different types of housing in
Hong Kong to give you a touch of lives of Hong Kong women of different
socio-economic backgrounds. Scenic spot: Tai Hang Tung Public Housing
Estate, Kowloon Tong residential area, afternoon tea at Yau Yat Chuen. NGO visit to Hong Kong Young Women¡¦s
Christian Association |
Preparing meals for family members is a
major task of women. Sightseeing several scenic spots give you some clues of
the changing roles of Hong Kong women. Scenic spot: ¡§Da Pai Dang¡¨, Sham Shui Po
Wet Market, Supermarket & Foodcourt at Olympic City NGO visit to Hong Kong Federation of Women¡¦s Centre |
Visiting different types of shopping areas
helps you to understand consumption styles of marked contrast. You may do
some shopping as well. Scenic spot: Tsim Sha Tsui, ¡§Ladies¡¦ Market NGO visit to Hong Kong Women Worker¡¦s
Association |
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Payment Declaration
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I would like to settle: |
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Registration
Fee
HK$ 250.00; (Registration
fee covers forum materials and coffee breaks.) ¨
Welcome
Reception Fee
HK$ 120.00; ¨
Local Tour
Fee ¡V Tour A HK$ 80.00; ¨
Local Tour
Fee ¡V Tour B HK$ 60.00; ¨
Local Tour
Fee ¡V Tour C HK$ 60.00; |
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in a total of HK$
_____________ by: |
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o
Visa |
o
MasterCard |
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Card Number:
_______________________________________________________ Expiry
Date (MM/YY): _____________ Print Cardholder¡¦s
Name:
________________________________________________________________________________ Cardholder¡¦s
Signature (DO NOT PRINT):
___________________________________ Date:
__________________________ ¡@ I hereby authorize
Forum Secretariat to debit my account for the above-mentioned amount. |
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o Cheque (# __________________ ). o Directly Transfer to Hang Seng Bank Limited
(Account Number: 257-148585-001). |
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invoice (Please provide the
requested information for the person and organization to be invoiced.) |
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Surname: Mr / Ms
____________________________ |
Given Name:
_______________________________________________ |
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Organization:
______________________________________________________________ |
Position: ___________________ |
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Mailing Address: |
________________________________________________________________________________________
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Tel: _______________________ |
Fax: _________________________ |
E-mail:
_____________________________________ |
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IMPORTANT NOTES:
1.
ONE registration form is for ONE person only. Please use separate form if more than one person register
for the Forum. Photocopying of
this form is acceptable.
2.
Registration forms received without registration fees paid will not be
processed. Please do not send
cash.
3.
The Forum program is subject to change without prior notice. In the unlikely event of cancellation
of the Forum, the only liability of the organizing committee is to refund all
the fees paid.
4.
Refunds for cancellations of registration will be made subject to the
following deadline and charges after the Forum:
On or before Sep 30 2003 Full
Refund.
Between Oct 1 and Nov 30 2003
Will
be given a 50% refund.
After Nov 30 2003 No
Refund.
All cancellations must be
made in writing by mail, fax or email to the Forum Secretariat. Refunds will be made within one month
after the Forum.
5. The information provided in this form will only be used for the purposes of processing your registration, communicating with you on matters related to the Forum. Participants and organization name will be shown on the Forum Handbook. You can decide not to disclose your information in the forum handbook, or you can have access and correction with respect to your personal data held by us. If you wish to exercise these rights, please contact the Forum Secretariat.
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Signature
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Date |
I hereby agree to be bound by the rules and regulations of the Forum |