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.