3APFA 2009 Individual Registration Form
Please clearly complete this form
Salutation*: Prof.____ Dr ____ Mr. ____ Mrs. ______Ms. ______Gender: ______Name*: First Name______Middle Name______Last Name______
Nationality or Region*: ______Passport No.*: ______
Affiliation/Company/Organization*: ______
Mailing Address*: ______
City*: ______Post Code: ______Country*: ______
Tel*: ______Fax*: ______E-mail*: ______
The number of your submitted abstract: ______
Registration Fee*：RMB ______
Method of Payment: (Bank Transfer or Bank Draft)
Hotel: ______Check in: ______Check out: ______
*required filed
Information below is for your reference.
1. Registration fee
Category / Early Registration[ By May 31, 2009 ] / Late Registration
[ June 1-Sep 30, 2009 ] / On-site Registration
Regular Participant / RMB4500 / RMB4800 / RMB5200
Student 1 / RMB1700 / RMB2000 / RMB2400
Accompanying
Person 2 / RMB2100 / RMB2100 / RMB2100
Group 3 (10 or more) / RMB3600 / RMB3900 / RMB4200
All above registration fee depends on the fluctuation of RMB (renminbi) currency. Please consider RMB as the best payment currency. If you would like to pay in USD, the exchange rate will be measured at the same day when you paid by bank or by bank draft. For example, RMB 4500 is equal to USD 658.376 (if the exchange rate is 6.835).
1 The Student Certificate must be provided at the on-site registration table, otherwise the full registration will be charged.
2 Accompanying persons are limited to family members and not allowed to attend scientific sessions.
3 Please click here for Group Registration information. Students and accompanying persons can not be included in Group registration.
2. Payment
u Full payment before the given date is recommended.
u The Conference Registration must be submitted with the Payment of a bank draft, or bank transfer, otherwise the registration will not processed.
u Receipts will be provided at the on-site registration desk.
Payment in US currency will be accepted by the following methods:
Bank Transfer
Bank transfer from your bank may be made directly to the account below. All incurred fees charged by the processing banks prior to the arrival of the transferred fund should be borne by registers themselves. Please make sure to indicate the name of the Conference “3APFA”, and the Group’s full name or group contact person’s name on the bank transfer, scan or fax to the Forum Secretariat a copy of the receipt of the bank transfer and keep a copy for your own record.
SWIFT / PNBPUS3NNYC
Beneficiary’s Bank in China / Agricultural Bank of China, Shanghai Branch, Xuhui Sub-Branch
SWIFT / ABOCCNBJ090
Beneficiary’s A/C / 033924-00801088453
Beneficiary’s Name / Shanghai Institute of Materia Medica, Chinese Academy of Sciences
Beneficiary’s Address / 294 Taiyuan Rd., Shanghai 200031, China
Bank Draft should be made payable to “Asian Journal of Andrology” and sent to following address: Asian Journal of Andrology, Room 302, Building 16, 294 Tai-Yuan Rd, Shanghai 200031, China.
According to Bank of China regulations, there is handling charge of RMB70 for each draft, the cost of which should be borne by the registrant. Please inform the secretariat when the bank draft be sent out.
If you would like to send us Euro, please instruct your bank to use the following payment routing information.
EUR. Intermediary Bank / Deutsche Bank, FrankfurtSWIFT / DEUTDEFF
Beneficiary’s Bank in China / Agricultural Bank of China, Shanghai Branch, Xuhui Sub-Branch
SWIFT / ABOCCNBJ090
Beneficiary’s A/C / 033924-00801088453
Beneficiary’s Name / Shanghai Institute of Materia Medica, Chinese Academy of Sciences
Beneficiary’s Address / 294 Taiyuan Rd., Shanghai 200031, China
3. Accommodation
Hotel / Room / Class / Rate (RMB) / DistanceInternational Conference Hotel Nanjing / Zhongshan Building
(Executive Room) / Five star / 1100 / Venue
Zijing Building
(Deluxe Room) / Five star / 830
Lijing Building
(Senior Room) / Four star / 590
Young Travel Hotel / Standard Room / Three star / 380 / 1 km away from the venue. RMB10 by taxi from venue to the hotel
Jingjiang Inn / Standard Room / Three star standard / 210 / 3 km away from the venue. RMB15 by taxi from venue to the hotel
All above accommodation fee depends on the fluctuation of RMB (renminbi) currency. Please consider RMB as the best payment currency. If you would like to pay in USD, the exchange rate will be measured at the same day when you paid by bank or by bank draft. For example, RMB 1100 is equal to USD 160.936 (if the exchange rate is 6.835).
1. The room rates above are quoted per room per night and may be changed depending on the exchanging rate.
2. Breakfast is included in the rate.
3. All rates include10% service charge and 10% Gov. Tax.
4. The reservation must be accompanied with one-night deposit by bank transfer or bank draft in order to guarantee your reservation.
5. Please note there is no refund for the one-night deposit.
6. All rooms support the free internet access.
Contact for Registration:
Ms Dan-Qing Ren or Ms Hui Zhang
Editorial Office, Asian Journal of Andrology
Room 302, Building 16, 294 Tai-yuan Rd, Shanghai 200031, China
Phone: +86-21-5492 2824
Fax: +86-21-5492 2825
E-mail: ; ;
URL: http://www.asiaandro.com/3APFA
3APFA Secretariat
Ms Dan-Qing Ren or Ms Hui Zhang, Editorial Office, Asian Journal of Andrology, 294 Tai-yuan Rd, Shanghai 200031, China
Phone: +86-21-5492 2824 Fax: +86-21-5492 2825 E-mail: ; ;
Forum Website: http://www.asiaandro.com/3APFA