Page 1

To Speaker:

Web: http://semiconchina.semi.org/cstic

1. Speaker Information (Print clearly) First (Given) Name

After fill in, please fax to: +86.21.5027.4830

Last (Family) Name

Company

Job Title Country

Address Address/Mail Stop City

State (U.S. only)

Postal Code/Zip

Email Tel (Country/Area Code/Number)

Fax (Country/Area Code/Number)

2. Product Information Keynote Speaker

Price on or before Jan.30 (RMB) Free

Price after Jan.30 (RMB) Free

Speaker

1800

2200

LED Training

800

800

World Expo. China Pavilion 450 Visit + Dinner Banquet (Please select below choices, one visit only) Dinner Banquet (M ar. 13)

450

World Expo. China Pavilion Visit (M ar. 12 afternoon) World Expo. China Pavilion Visit (M ar. 15 afternoon) 3. Payment Method (Pre-payment recommended) 1) By Credit Card AM EX

JCB

M aster Card

VISA

Amount Charged $ Card Number

Exp.

Print Name (as it appears on the card) Signature of Cardholder 2) Wire Transfer Name: SEMI China Account name: INDUSTRIAL AND COMMERCIAL BANK OF CHINA Shanghai Municipal Branch SWIFT Code: ICBKCNBJSHI Account Number: 1001133419016261156 Address: Rm. 201, Bldg. 2, 295 Zuchongzhi Road Zhangjiang Hi-tech Park, Pudong Shanghai, 201203, China Tel: +86.21.5027.0909 3) By Cash Onsite (No early bird discount) Payment receipt will be distributed onsite. Program Cancellations:  On or before Feb.18 you will receive a 100% refund (allow 30 days for refunds).  After Feb.18 fees are non-refundable (including no-shows).  Cancellations and substitutions must be done in writing from the original registrant. Substitutions accepted with written notice from the original registrant.

http://www.semiconchina.org/downloadFile/1291860070962  

http://www.semiconchina.org/downloadFile/1291860070962.pdf