“Embracing New Challenges : Women in Action”
Venue: University of Science & Technology, Clearwater Bay, Hong Kong
Forum Registration Form |
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
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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 30 characters.)
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___________________________________________________________________________________________________________
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Mailing
Address:
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_____________________________________________________________________________________________
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___________________________________________________________________________
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Postal
Code: ___________________
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Tel:
_________________________
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Fax:
___________________________
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E-mail:
________________________________________
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Emergency
Phone Number: ______________________
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Contact
Name: _________________________________________________
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Travel
with wheelchair?
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oNo
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oYes
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Rehabilitation
bus service required?
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oNo
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oYes
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Accommodation
required?
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oNo
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oYes
(Please fill in the accommodation reservation form)
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RegIsTration Fees |
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Registration
fee
Remarks: Registration fee covers all forum materials and coffee/tea between 4th and 7th July 2003. |
(Including pick-up service from/to the airport) |
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Areas of concern |
Please
indicate your interest in the following workshops.
□Women
and Economic Participation
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□Women
and Health
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□Women
and Peace
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□Women
and Migration of Labor
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□Women
and Sexuality
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□Women
and Environment
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□Women
and Sex Work
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□Women
and Sexual Violence
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□Women
and Religion and Spirituality
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□Women
and Education
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□Women
and Domestic Violence
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□Women
and Urbanization
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□Older
Women’s Caucus
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□Differently
Abled Women’s Caucus
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□Young
Women's Forum
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□Women
and Information and Communication Technologies (ICT)
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oSimultaneous
interpretation service required:
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oCantonese
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oPutonghua
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oEnglish
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oOther
request, please specify:________________________________________________________________________________
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Local tour Arrangement |
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Tour & NGO Visit |
Tour ASight visit to public & private housing estate |
Tour B“Food & Culture” |
Tour CExperience the glamour of shopping paradise |
Tour DA tour of Hong Kong Heritage Museum |
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6/7/2003 (Sunday) |
7/7/2003 (Monday) |
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(Afternoon tea set inclusive) |
(Afternoon tea set inclusive) |
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Description |
Scenic spot: Tai Hang Tung Public Housing Estate, Kowloon Tong residential area, afternoon tea at Yau Yat Chuen City Club
NGO visit to Hong Kong Young Women’s Christian Association |
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 |
Scenic spot: Tsim Sha Tsui, “Ladies’ Market
NGO visit to Hong Kong Women Worker’s Association |
The Woman Wanted exhibition invites 7 Hong Kong woman artists to provide multiple yet highly personal perspectives of the experience of being a woman. |
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oTour
A
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oTour
B
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oTour
C
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oTour
D
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Please
“√” the tour(s) you would like to join.
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Payment Declaration |
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I
would like to settle:
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oRegistration Fee oTour fee oAccommodation Fee |
*US$ / HK$_____________; *US$ / HK$_____________; *US$ / HK$_____________; |
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in a total of *US$
/ HK$ _____________ by:
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*Please delete if appropriate.
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oVisa
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oMasterCard
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Card
Number: ______________________________________________ Expiry Date (MM/YY):
___________________________
Print Cardholder’s Name: ___________________________________________________________________________________
Cardholder’s Signature: ______________________________________ Date: ________________________________________ I hereby authorize Forum Secretariat to debit my account for the above-mentioned amount.
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oTelegraphic
transfer (T.T.) (# ___________________ ) payable to "5EAWF":
Account Number: 257-4-706434 Banker: Hang Seng Bank Limited Address: 83 Des Voeux Road Central, Hong Kong Swift Code: HASEHKHH Please send the receipt together with this registration form to the secretariat.
oCheque (# __________________ ).(For Hong Kong delegates use ONLY,please prepare a cross cheque payable to "5EAWF" and send to the Forum Secretariat together with the registration form.) |
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Please provide the requested information for
the person and organization to be invoiced.
Surname:
Mr / Ms _______________________________
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Given
Name: __________________________________________________
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Organization:
__________________________________________________________________
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Position:
______________________
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Mailing
Address:
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_____________________________________________________________________________________________
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___________________________________________________________
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Postal
Code: ___________________________________
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Tel:
_________________________
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Fax:
_________________________
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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 30 April 30 2003 Full Refund less a US$30 or HK$240 processing fee.
Between May 1 and 31 2003 Will be given a 50% refund.
After 2 June 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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For the convenience of participants of the 5th East Asian Women’s Forum, accommodation in the HK University of Science and Technology is provided. Those who require the accommodation, please TYPE or PRINT in BLOCK LETTERS and send to the Forum Secretariat: Room 09, 17/F., Prosper Commercial Building, 9 Yin Chong Street, Kln, Hong Kong.
The
Accommodation Package offers four days and three nights accommodation of
a twin-bed room (double occupancy) inside the campus of the Hong Kong University
of Science & Technology. Breakfast, lunch and dinner are included.
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Room Type |
4 Days and 3 Nights Between July 4 and 7, 2003 |
& Time |
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(common toilet/shower facility) |
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† Occupancy: |
I will share a room with _________________________________________________________(Name of person). |
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Washroom
with disabled facility required?
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oNo
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oYes
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Notes:
1.The above room rates include lodging, linen and air-conditioning service.
2.Check-in time is 2 pm; Check-out time is 12 noon.
3.Owing to the limited number of accommodations available, we encourage early registration.
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YWCA
has offered special packages to our overseas delegates for post-forum staying
in Hong Kong. Please fill in the form below if such is required, we will
pass the booking to YWCA.
Venue |
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YWCA
Garden View International House
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YWCA
Anne Black Guest House
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I hereby authorize Forum Secretariat to pass my personal information to YWCA.
For further information, please visit Hong Kong YWCA website http://www/ywca.org.hk
IMPORTANT NOTES:
1.The 5th East Asian Women’s Forum WILL NOT be in charge for the post-forum accommodation, please make your payment to YWCA separately.
2.The special room rate is only valid during the Forum period for delegates attending the 5th East Asian Women’s Forum and will be subject to the availability of rooms.
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Signature
I hereby agree to be bound by the rules and regulations of the Forum
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Date
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