IUCN Mangrove Specialist Group China Symposium registration form

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Registration for Symposium
TURNING THE TIDE ON MANGROVE LOSS
“a focus on the state of mangroves in Asia”
12&13th of November 2015, main meeting room, College of the Environment & Ecology, Xiamen
University, South Xiangan Road, Xiamen, Fujian, P. R. China, 361005.
Your details
Title: ……………… First name: ……………………….… Surname……..…………..……………............................
Name (as you would like it to appear on your badge)……………………...…………………………………………
……………………………………............................................................................................................................................
Position………….………………………………………………………………………………………………...…
Organisation………………….…………………..…………………………………………………………………..
Email………………………………………………...Tel…..………………………………………………………
Mailing address (billing address should be provided for card
payments)…..…….........……………………………………………………………………………………………...
.........………………………………………………………………………………………………................................
Symposium attendance rates
Symposium attendance
Closing day dinner
Category
Practitioners
Students
Practitioners
Students
Field trip
Registration of interests:
Please register me for: (Please tick as appropriate indicating
preference for THURSDAY or FRIDAY)
Rates*
$200 full 2days, $125 one day
$100 full 2days, $ 65 one day
RMB 200 ($ 35).
RMB 200 ($ 35)
RMB 200 ($ 35).
RMB 200 ($ 35).
ONE DAY
[ ]
TWO DAYs
[ ]
I AM a mangrove PRACTITIONER/scientist hoping to PRESENT/EXHIBIT my work at the [ ]
symposium
I AM a PHD. Msc. Student, interested in mangroves and will like to participate as OBSERVER, [ ]
PRESENTER/or EXHIBIT my work at the symposium. Please provide a supporting statement from
your course supervisor or a copy of your student card.
Closing DAY DINNER: I would like to book for the closing day dinner on Thursday 13 th of November.
This will cost RMB 200 ($ 35). Please list any special dietary requirements below (including vegetarian).
I will like to BOOK for the field trip of the 14th of November (this will cost RMB 200 ($ 35)
[ ]
* The registration fee will cover administrative costs, catering and the symposium folder. Please do indicate your
interest to be part of either, the field trip or both events in this form. All dully completed registration forms should
sent to Zebedee.Njisuh@zsl.org and zhengcj@xmu.edu.cn
How to pay:
Please complete this form and indicate if you will like to pay by cheque or card The completed form can be sent
either electronically to Mrs Chenjuan Zheng ; symposium correspondence assistant Email: zhengcj@xmu.edu.cn or
by post to College of the Environment & Ecology, Xiamen University, South Xiangan Road, Xiamen, Fujian, P. R.
China.
Payment details:
Cheque: I enclose a cheque of Chinese RMB...………..Payable to: Xiamen University. Please note that cheques can
only be accepted in Chinese RMB drawn against a Chinese bank.
Card: please complete all details below and return by email or post
Please debit my Visa / MasterCard (delete as appropriate) the amount RMB = $………………………………
Card umber.............................................................................................................................................................................
Expiry date................ /…….......... ………………..Card security code ..…………………….................................
Name on card..................................................................................................................................... (Capital letters please)
Signature of Card Holder.............................................................................. Date..................................................................
Cancellations must be received in writing by 1 November 2015 and refunds will be made after deduction
of processing charges. Substitutions may be made at any time without charge; please notify Mrs Chenjuan
Zheng of any change in attendee details.
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