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Please fax this form to 886-2-2783-6444 2003 PNC Annual Conference and Joint Meetings Registration Form Participant Prof. Dr. Mr. Ms. Given Name Family Name Title Institute / Organization Address City State Country Postal Code Country Code Area Code Tel Fax E-mail Do you want to renew / join PNC Membership Yes - Institutional Member Individual Member No Applicants for new members please submit Membership Application and full Membership Fee. Do you require vegetarian meals Yes Accompanying Person Does Accompanying Person require vegetarian meals Requirement for Audio-Visual Equipment FOR INVITED SPEAKERS ONLY Overhead Projector Slide Projector LCD Projector for notebook Internet Access Computer Self-prepared Secretariat-provided IBM Only Membership Fee Institutional Member Developed Countries Developing Countries Individual Member Sub-Total A NTD 17 500 / USD 500/THB 21 000 NTD 8 750 / USD 250/THB 10 500 Conference Registration Fees Registration Fee will be waived for Invited Speakers and PNC Member PNC Non-member Local Participant Local student with voucher 0 Registration will be processed in Taiwan therefore the registration fee will be charged in NTD. NT US 35 1 Thai US 41. 89 1 Registration fee will cover 3-day conference package coffee breaks and lunches. Fax 886-2-2783-6444 in order to complete the registration* Social Program Program Date Time No* of Persons Welcome Reception 18 30 20 00 November 7 2003 Banquet 19 00 20 30 November 9 2003 Grand Total Amount Method of Payment for Conference Registration Fee Credit Card I hereby authorize you to charge my credit card account for the Grand Total Amount of NT. Visa Card Master Card Expiration Date Month Year Card No* Card Member in type Signature Bank Transfer Banking handling charge to be borne by the applicant. the bank slip must be sent accompanying this Registration Form* To Land Bank Nankang Branch Address No* 364 Nankang Road Sec* 1 Nankang Taipei Taiwan Account Name The Pacific Neighborhood Consortium Account No* 004-001-146837 Photocopy of Cancellation Policy Cancellations should be made in writing to the Secretariat. 50 of registration fee will be refunded if a written cancellation is made before November 1 2003. No refunds can be made for cancellations received after November 1 2003. Mr. Ms. Given Name Family Name Title Institute / Organization Address City State Country Postal Code Country Code Area Code Tel Fax E-mail Do you want to renew / join PNC Membership Yes - Institutional Member Individual Member No Applicants for new members please submit Membership Application and full Membership Fee. Do you require vegetarian meals Yes Accompanying Person Does Accompanying Person require vegetarian meals Requirement for Audio-Visual Equipment FOR INVITED SPEAKERS ONLY Overhead Projector Slide Projector LCD Projector for notebook Internet Access Computer Self-prepared Secretariat-provided IBM Only Membership Fee Institutional Member Developed Countries Developing Countries Individual Member Sub-Total A NTD 17 500 / USD 500/THB 21 000 NTD 8 750 / USD 250/THB 10 500 Conference Registration Fees Registration Fee will be waived for Invited Speakers and PNC Member PNC Non-member Local Participant Local student with voucher 0 Registration will be processed in Taiwan therefore the registration fee will be charged in NTD.

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