Name of unit

Address

Post code

Main business

Total number of participants

____persons

Representatives participants

Gender

Nationality

Department

Title

Tel

Mobile phone

Category of conference fee

A   B  C

A   B  C

A   B  C

contact person

Tel

Fax

Email

We expect to participate in ICCAD 2017, please reserve and send invitation.

■ Conference fee: <Nirvana Resort Beijing, including board and lodging, refreshments, materials, etc. >

□ Category A: RMB 2,000/person (excluding hotel)

□ Category B: RMB 2,800/person (including a bed in double room for three nights, shared                                                               with others and including one breakfast,  lakeside building)

□ Category C: RMB 4,100/person ((including single room or double room for three nights,                                      enjoyed alone and including one breakfast, VIP building)

Notes: 1. Check-in date: November 15; check-out date: Nobember 18.

Room charge: RMB 700/night/room(VIP Building).

2. As hotel room cannot be reserved, organizing committee only reserves rooms for the participants who’ve paid Class B and Class C in advance. The participants who’ve paid first will be served first following payment order. For any other needs, please contact organizing committee in advance for registration.

Total amount: RMB________

For RMB

Account Name: Shanghai XinMei Conference Service Co., Ltd.

Account Number: 3169  1303 0018 32394

Opening Bank: Bank  of Shanghai Puxi

Branch

CNAPS  CODE: 325290003035

Address  Of Bank: No. 595 Caoxi North Road,  Shanghai,  P.R.C

For USD

Account  Name: Shanghai Yaxun Shangwu Zixun Co., Ltd.

Account  Number: 3169 1300 0050 70642

Opening  Bank: Bank of Shanghai Caoxi Sub-branch

SWIFT  BIC: BOSHCNSH

Address Of Bank: No. 595 Caoxi North Road,  Shanghai, P.R.C

Official seal of unit or signature of  responsible person:

                                                          Date:     /2017