REGISTRATION
(for co-organizers and supporting organizations)

By MAIL: / Hong Kong Cyberport Management Company Limited / By FAX: / +852 3027 0338
Units 1102-1104, Cyberport 2
100 Cyberport Road, Hong Kong <Ref: Web 3.0 Asia / By EMAIL: /
EVENT DETAILS
WEB 3.0 ASIA / WEB 3.0 TRAINING WORKSHOP
Date: / 16 November 2010 (Tuesday) / Date: / 15 November 2010 (Monday)
Time: / 09:00 – 17:30 (including lunch) / Time: / 09:30 – 17:30 (including lunch)
Venue: / Function Rooms 1–3, Core E, Cyberport 3 / Venue: / Function Rooms 1–3, Core E, Cyberport 3
Regular Rate / Special Rate / Subtotal
Web 3.0 Asiaon 16 Nov / HK$800 / HK$ 300 x / HK$
Workshop on 15 Nov / HK$ 100 x / HK$
* Please use one registration form per registrant / Total : / HK$
PERSONAL DETAILS
Dr./Ir./Mr./Ms./Mrs.Dr.Ir.Mr.Ms.Mrs. / First Name / Last Name
Company Name / Contact Tel / (O)
Job Title / (M)
Mailing Address / Fax
Email
Shuttle Bus / Required Not Required
Contact Person (if different from above)
Dr./Ir./Mr./Ms./Mrs.Dr.Ir.Mr.Ms.Mrs. / First Name / Last Name
Email / Contact Tel
I would like to present at start-up company pitch meetings during the training workshop on 15 Nov*
* The presentation must be ICT related, in English and no more than 10 minutes long. Please send your presentation to by 31 Oct.
BUSINESS NATURE (Select ONE that best fits)
Creative Industries, please specify:
Advertising / Digital Entertainment / Music / Software & Computing
Design / Film and Video / Publishing / Television and Radio
Other Creative Industries, please specify:
Other Industries:
Academic Institutions / IT & Telecommunications
Banking & Finance / NGO (including professional associations)
Government / Quasi-government Bodies / Professional Services (Accounting, Legal, Management Consulting etc.)
Others, please specify:
COMPANY SIZE
1-50 staff / 51-100 staff / >100 staff
HOW DID YOU KNOW ABOUT WEB 3.0 ASIA? (Please mark where appropriate)
Advertisement, please specify: / Lift Display
Circular / Poster
Co-organizers or Supporting Organizations / Referral
Cyberport’s eNewsletter / Electronic Direct Mailing / Telemarketing
Cyberport Website / Was an Attendee of CVCF in previous years
Direct Mailing / Others, please specify:
SHUTTLE BUS SERVICE(Included in registration fee)
Web 3.0 Asia on 16 Nov: / Workshop on 15 Nov:
08:30 from Admiralty* to Cyberport / 08:45 from Admiralty* to Cyberport / * Café de Coral at Admiralty Centre
(Admiralty MTR Exit A)
17:30 from Cyberport to Admiralty* / 17:30 from Cyberport to Admiralty*
PAYMENT METHOD (Please mark where appropriate)
By Cheque / (Please mark your name, phone number and company name at the back and make cheque payable to Hong Kong Cyberport Management Company Limited with your delivery address to: Units 1102-1104, Cyberport 2, 100 Cyberport Road, Hong Kong. <Ref: Web 3.0 Asia >)
By Direct Bank-In
By Telegraphic Transfer
Account Name / Hong Kong Cyberport Management Company Limited
Account Number / 368 – 1 – 036080 – 9
Bank Name / Standard Chartered Bank
Bank Address / 14/F, StandardBankBuilding, 4A Des Voeux Road Central, Hong Kong
Payment by direct bank in or telegraphic transfer,please return a copy of deposit / telegraphic transfer slip (marked with your name, phone number and the company/ organization's name for verification purposes) together with the completed registration form via fax to +852 3027 0338, or email to mail to Hong Kong Cyberport Management Co. Ltd. Units 1102-1104, Level 11, Cyberport 2, 100 Cyberport Road, Hong Kong. (Please mark "Ref: Web 3.0 Asia" on the envelope) within 1 week after your registration.
ADMISSION E-TICKET
Subject to verification of payment, an admission e-ticket will be emailed to you and your contact person (if any) for confirmation of reservation.
ENQUIRIES
For further details, please contact Hong Kong Cyberport Management Company Limited via hotline +852 3166 3757, fax +852 3027 0338 or email . Delegates within an organization may transfer places without any charge, but transfer of places outside an organization is strictly forbidden. The organizers reserve the right to make changes to the programme without prior notice.
DATA PRIVACY POLICY
Your personal information is used solely for the purpose of creating and maintaining your account with Hong Kong Cyberport Management Company Limited. We will not use your personal data for any other purposes without your prior consent.
Please tick if you prefer NOT to receive promotional mailings from Hong Kong Cyberport Management Company Ltd.