Registration and Accommodation Form

Full Name;(in English or Chinese)*;
Title*:   Prof. Dr. Mr. Ms. Others
Sex*: Male Female
Company/Institute:*
Street Address:*
City:*
State:*
Zip Code:*
Country:*
Telephone:*
Fax:*
Email:*
Registration Fee  Before March 31, 2006 After April 1,2006  
Full Participant US$ 400 (RMB 3200) US$ 450 (RMB 3600 )
Student US$200(RMB 1600) US$250(RMB 2000)
Accompanying Person US$150 (RMB 1200) US$150;(RMB 1200)
Note:Students who appear as the presenting or first author on an accepted abstract should provide a written confirmation that they are registered students and not a salaried employee.
Accompanying persons
Full Name;(in English or Chinese);
Sex:Male Female
Accommodation
Category Hotel Rate/Night Note
**** Shanghai Barrony wanyuan Hotel Single Room Standard Double

2km to Symposium Site

(Daily Pick-up from Hotel to Conference Venue and vice versa)
RMB 500/room RMB250/person

All rates are quoted in RMB per room, per night and include breakfast and taxes.

I will share my accommodation with:
I would like to pay by*:                      Cheque                Transfer

Payment by cheque or wire transfer, made payable to the Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences.  Bank charges are the responsibility of the sender, and must be paid at the time of the transaction. Wire Transfer and check payment instrument: Please indicate the name of the participant and the following words ' CPS 2006'  in capital letters in the payment information or at the back of the check.  

Please enter any special requirement into the field below: