"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 PERSONAL INFORMATION Please type or print in block letters and "ã" where appropriate Surname: Mr / Ms ______________________________ Given Name: __________________________________________________ Position: ____________________________________________________________________________________________________ Organization: ________________________________________________________________________________________________ Badge Name, Title and Organization: (Name exactly as you wish it to be on your name badge; limit to 30 characters.) ___________________________________________________________________________________________________________ Mailing Address: _____________________________________________________________________________________________ ___________________________________________________________________________ Postal Code: ___________________ Tel: _________________________ Fax: ___________________________ E-mail: ________________________________________ Emergency Phone Number: ______________________ Contact Name: _________________________________________________ Travel with wheelchair? * No * Yes Rehabilitation bus service required? * No * Yes Accommodation required? * No * Yes (Please fill in the accommodation reservation form) REGISTRATION FEES Overseas Delegate Local Delegate Registration fee Remarks: Registration fee covers all forum materials and coffee/tea between 4th and 7th July 2003. US$50 / HK$400 (Including pick-up service from/to the airport) HK$250 AREAS OF CONCERN Please indicate your interest in the following workshops.  Women and Economic Participation  Women and Health  Women and Peace  Women and Migration of Labor  Women and Sexuality  Women and Environment  Women and Sex Work  Women and Sexual Violence  Women and Religion and Spirituality  Women and Education  Women and Domestic Violence  Women and Urbanization  Older Women's Caucus  Differently Abled Women's Caucus  Young Women's Forum  Women and Information and Communication Technologies (ICT) OTHER SERVICES REQUESTED * Simultaneous interpretation service required: * Cantonese * Putonghua * English * Other request, please specify:________________________________________________________________________________ LOCAL TOUR ARRANGEMENT 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 Tour D "Woman" Wanted" A tour of Hong Kong Heritage Museum Date 4:30-8:30 p.m., 6/7/2003 (Sunday) 2:30-6:30 p.m., 7/7/2003 (Monday) Tour Fee US$10 / HK$80 (Afternoon tea set inclusive) US$8 / HK$60 (Afternoon tea set inclusive) US$8 / HK$60 US$8 / HK$60 Description Visiting different types of housing in Hong Kong to give you a touch of lives of Hong Kong women of different socio-economic backgrounds. Scenic spot: Tai Hang Tung Public Housing Estate, Kowloon Tong residential area, afternoon tea at Yau Yat Chuen City Club NGO visit to Hong Kong Young Women's Christian Association Preparing meals for family members is a major task of women. Sightseeing several scenic spots give you some clues of the changing roles of Hong Kong women. Scenic spot: "Da Pai Dang", Sham Shui Po Wet Market, Supermarket & Foodcourt at Olympic City NGO visit to Hong Kong Federation of Women's Centre Visiting different types of shopping areas helps you to understand consumption styles of marked contrast. You may do some shopping as well. Scenic spot: Tsim Sha Tsui, "Ladies' Market NGO visit to Hong Kong Women Worker's Association Traditionally, women are often viewed as victims, as the weaker half. Is it appropriate to view woman in this out-dated way? The Woman Wanted exhibition invites 7 Hong Kong woman artists to provide multiple yet highly personal perspectives of the experience of being a woman. * Tour A * Tour B * Tour C * Tour D Please "ã" the tour(s) you would like to join. PAYMENT DECLARATION I would like to settle: * Registration Fee * Tour fee * Accommodation Fee *US$ / HK$_____________; *US$ / HK$_____________; *US$ / HK$_____________; in a total of *US$ / HK$ _____________ by: *Please delete if appropriate. * Visa * MasterCard 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. * Telegraphic 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. * Cheque (# __________________ ). (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.) INVOICE Please provide the requested information for the person and organization to be invoiced. Surname: Mr / Ms _______________________________ Given Name: __________________________________________________ Organization: __________________________________________________________________ Position: ______________________ Mailing Address: _____________________________________________________________________________________________ ___________________________________________________________ Postal Code: ___________________________________ Tel: _________________________ Fax: _________________________ E-mail: ________________________________________ 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. ACCOMMODATION RESERVATION FORM 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. Venue Room Type Room Rate for 4 Days and 3 Nights Between July 4 and 7, 2003 Arrival Flight & Time Departure Flight & Time Student Quarters Twin-bed Room, (common toilet/shower facility) õUS$200 or HK$1,600 Net per person * õ Occupancy: I will share a room with _________________________________________________________(Name of person). Washroom with disabled facility required? * No * Yes 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. POST - FORUM ACCOMMODATION RESERVATION FORM 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 Room Type Room Rate Per Night Date In Date Out Departure Flight & Time YWCA Garden View International House Standard Room (Twin) US$56 or HK$450 Net YWCA Anne Black Guest House Standard Room (Twin) US$42 or HK$330 Net 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. ________________________________________________ _________________________________________________ Signature I hereby agree to be bound by the rules and regulations of the Forum Date