To Speaker:
Web: http://semiconchina.semi.org/cstic
1. Speaker Information (Print clearly) First (Given) Name
After fill in, please fax to: +86.21.5027.4830
Last (Family) Name
Company
Job Title Country
Address Address/Mail Stop City
State (U.S. only)
Postal Code/Zip
Email Tel (Country/Area Code/Number)
Fax (Country/Area Code/Number)
2. Product Information Keynote Speaker
Price on or before Jan.30 (RMB) Free
Price after Jan.30 (RMB) Free
Speaker
1800
2200
LED Training
800
800
World Expo. China Pavilion 450 Visit + Dinner Banquet (Please select below choices, one visit only) Dinner Banquet (M ar. 13)
450
World Expo. China Pavilion Visit (M ar. 12 afternoon) World Expo. China Pavilion Visit (M ar. 15 afternoon) 3. Payment Method (Pre-payment recommended) 1) By Credit Card AM EX
JCB
M aster Card
VISA
Amount Charged $ Card Number
Exp.
Print Name (as it appears on the card) Signature of Cardholder 2) Wire Transfer Name: SEMI China Account name: INDUSTRIAL AND COMMERCIAL BANK OF CHINA Shanghai Municipal Branch SWIFT Code: ICBKCNBJSHI Account Number: 1001133419016261156 Address: Rm. 201, Bldg. 2, 295 Zuchongzhi Road Zhangjiang Hi-tech Park, Pudong Shanghai, 201203, China Tel: +86.21.5027.0909 3) By Cash Onsite (No early bird discount) Payment receipt will be distributed onsite. Program Cancellations: On or before Feb.18 you will receive a 100% refund (allow 30 days for refunds). After Feb.18 fees are non-refundable (including no-shows). Cancellations and substitutions must be done in writing from the original registrant. Substitutions accepted with written notice from the original registrant.