/ World CTX 2017
Beijing, China – March 28-30, 2017
Beijing Marriott Hotel Northeast / For office use:
N° ......
Inv: ......
Pmt:......

REGISTRATION FORM

Please return this form to the Registration Office: / Axen - World CTX2017
8 rue Mission Marchand
75016 Paris – France
Email:
Fax: +33156 88 3556

PARTICIPANT

(Please complete this form or staple a business card)

Dr. Mr. Mrs. Ms.

Last/family name: ......

First name:......

Organization: ......

Position: ......

Address: street / PO box: ......

Postal code ...... City / State...... Country......

Phone: ......

Email: ......

REGISTRATION

We invite you to first register for the plenary sessions of March 29-30, as registration fees for March 28 are lower for March 29-30 attendees.

Registration fees cover the participation to Conference sessions, access to exhibition area, lunches, breaks and online access to the proceedings of the Conference.

A. Plenary Sessions (March 29-30)

Please tick the appropriate box in the following table and report the corresponding amount in “Amount A:” box.

Early registration
Payment before
February 1, 2017 / Regular registration
Payment before
March 15, 2017 / Onsite registration
Payment after
March 15, 2017
Corporate participant / €1,580 / €1,800
5th & following corporate participants* / €1,410 / €1,550
Government participant** / €900 / €1,100

* Applicable to the 5th and additional corporate representatives of the same company.

** Applicable to national, international and local government agencies, excludingstate-owned companies involved in business.

AmountA: €......

B. Technology Workshops (March 28)

Please tick the appropriate box in the following table and report the corresponding amount in “Amount B:” box.

Early registration
Payment before
February 1, 2017 / Regular registration
Payment before
March 15, 2017 / Onsite registration
Payment after
March 15, 2017
Corporate participant
already registered for plenary sessions
of March 29 & 30 – see table A / €610 / €700
Corporate participant
Registration for workshops only / €900 / €1,000
5th & following corporate participants*
already registered for plenary sessions
of March 29 & 30 – see table A / €540 / €600
Government participant**
already registered for plenary sessions
of March 29 & 30 – see table A / €400 / €450
Government participant**
Registration for workshops only / €650 / €850

* Applicable to the 5th and additional corporate representatives of the same company.

** Applicable to national, international and local government agencies, excludingstate-owned companies involved in business.

Amount B: € ......

C. Industry Tour in Yinchuan, Ningxia Hui (March 31)

Visit to Ningdong Energy & Chemical Industry Park, operated by Shenhua Ningxia.

Line A of the 80,000 barrels/day Coal-To-Liquids plant started in December 2016, representing 50% of the capacity. Line B is getting started. Shenhua Ningxia also operates Coal-To-Methanol, Coal-To-DME, Coal-To-Propylene and Coal-To-Formaldehyde plants.

The tour is reserved to World CTX registered participants. Registration fee covers transport from hotel to airport, airline tickets, transport by coach for the full day, visits, lunch and transport back to hotel.

Early registration
Payment before
February 1, 2017 / Regular registration
Payment before
March 15, 2017 / Onsite registration
Payment after
March 15, 2017
All participants / €790 / €890

Important: flight reservations are made only against payment and are not refundable. So, we will secure your seats only after we have received your payment. You are kindly advised to register and proceed with payment soon.

Amount C: € ......

D. Total & Payment

Total amount to be paid (A+B+C): € ......

Payment:

by wire transfer to AXEN account:

Bank: Société Générale. Agency: Paris Auteuil. Address: 118rue La Fontaine, F75016 Paris, France. Bank code: 30003 - Sort code: 03041 - Account No: 00020102863 18

IBAN: FR76 3000 3030 4100 0201 0286 318 - SWIFT/BIC: SOGEFRPP

Transfer is to be made "Free of charge for the receiver account". Any transfer cost is to be borne by the paying party.

by credit card (payment can also be made online at

Please select*: Visa / MasterCard / American Express*. Card No.:......

Expiry Date (mm/yy): ...... /...... CVC: ….....

Cardholder name: ......

*For American Express, a 2.5% charge will be added.

Modification and cancellation

- Modification and cancellation provisions are stipulated on the conference website.

- Substitution by another participant of the same organization is acceptable with no charge until March 15, 2017.

I hereby accept the rules and regulations stipulated on World CTX 2017 website, menu Registration / Modification and cancellation.

Date: ...... Signature and name of the person who completed this form:......