China’s definitive international forum concerning Green IT Green IT Forum August 31st, 2010 REGISTRATION FORM How to Register? In-person: US Dollar Bank Transfer: Bring this RSVP form with payment to the AmCham Shanghai office Fax this Ticket Registration Form together with bank (Shanghai Centre, Suite 568, 1376 Nanjing West Road, Shanghai) to transfer proof to (86 21) 6279 7643. pay with RMB cash or USD cash. (Fax not accepted). ATTENDANCE FEES RMB IT IS IMPORTANT TO FILL OUT ALL THE INFORMATION BELOW Please photocopy this form for multiple registrations. AmCham-Shanghai Member Price Standard Price 600 750 1st Delegate details Mr/Mrs/Ms ______ First name ________________________________ Surname ________________________________________________ Job title ____________________________________________________ For more information, please contact: Linda Wang Lin Events Manager linda.wanglin@amcham-shanghai.org Tel: (86 21) 6279-7119 ext. 5289 Tel ______________________________Fax_______________________ Email______________________________________________________ 2nd Delegate details Mr/Mrs/Ms ______ First name ________________________________ Sponsorship and Booth Decisions will be made. Partners will be chosen. People will be influenced by the discussions that take place at this event. Does your organization need to be in the room when all of this happens? Through Sponsorship and Booth, you will be able to showcase your solutions to guarantee that you are in the limelight when people are truly focused and making these crucial decisions. To discuss the most effective way for your company to have a presence at this event, call our business development team. For Sponsorship and Booth, please contact Lifei Xie at 010-65691321 or email at lifei.xie@chinacleantechfocus.com . REGISTRATION FORM Organization Details Company Name _____________________________________________ Please supply your company description Company Activity (EXAMPLE: We are an energy efficiency company and are based in Jiangxi province, China.) (15-20 words) _______________________________________________________ _______________________________________________________ Address __________________________________________________ _________________________________________________________ Postcode _____________________Country______________________ Surname _________________________________________________ Job title ____________________________________________________ Tel ______________________________Fax_______________________ Email______________________________________________________ PAYMENT 2 ways to secure your tickets: 1. In-person: Bring this RSVP form with payment to the AmCham Shanghai office (Shanghai Centre, Suite 568, 1376 Nanjing West Road, Shanghai) to pay with RMB cash or USD cash. (Fax not accepted). 2. US Dollar Bank Transfer Fax this Ticket Registration Form together with bank transfer proof to (86 21) 6279 7643. Bank Name: The Hongkong and Shanghai Banking Corporation Limited-Hongkong Branch Account Name: American Chamber of Commerce - Shanghai Account Number: 500-536552-201 Bank Address: 1 Queen's Road Central Hong Kong Swift Code: HSBCHKHHHKH Tel____________________________Fax _________________________ Website__________________________________________________ CANCELLATION POLICY Cancellations made before 5:00PM August 27, 2010 will recieve a 100% refund. Cancellations made after 5:00 PM, August 27, 2010 will not be eligible for any refund. -4-