ICOM_Registration Form

ICOM國際博物館管理委員會2006台北年會及研討會-博物館的新角色與使命.博物館的新角色與使命.時間:95年11月2日至4日.地點:台北國際會議中心.

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Registration Form

Delegate Information

Please note, the details completed within this section will be reproduced, exactly as they appear, in the delegate list.

Mr. Ms. Dr. Prof. Other

First Name:

Last Name:

Job Title:

Institution/Museum:

Postal Address:

Postal/Zip code:

Country:

Tel (Intl. country code):

Fax (Intl. country code):

E-mail:

For Insurance Only

Passport no.

Date of Birth:

Month Date Year

Country of Citizenship:

ACCOMPANYING PERSON	more...


Mr. Ms. Dr. Prof. Other
First Name:		Last Name:
Passport no.		Date of Birth:
Country of Citizenship:

Registration Fees (R)

ICOM/INTERCOM Members: US$ 125 Euro100

ICOM/INTERCOM Member no.

Non ICOM/INTERCOM Members: US$ 190 Euro 150

Accompanying Persons: US$ 80 Euro 65 (Per Person)

Total: US$ ; or Euro

Fees of Museum Tours (T) (Optional)

Registration Fees include fee for a single one-day tour. If you would like to join more tours, the fee for one tour is US$16 or Euro12

	Tour	Date	Tour Content
1	Tour-A-I	Nov. 5 (Sun.)	Tour of Ceramics Museum, Taiwanese Temple and Residence
2	Tour-A-II	Nov. 5 (Sun.)	Tour of Museum and Historic Sites at Taiwan North Coastline
3	Tour-B	Nov. 6 (Mon.)	Tour of Traditional Arts Center and Ilan County Museum
4	Tour-C	Nov. 5-6 (Sun.~Mon.)	East Coast and Taroko Gorge Tour

Total = (R) + (T) =US$ ; or Euro

Payment

Bank Transfer

Name of Bank: Chinatrust Commercial Bank
Account Name: Chinese Association of Museums
Account no. 285540034911
Swift code: CTCBTWTPXXX
TLX NO. :24654CTCBK
Bank Address: Shihlin Branch 1F., No.307, Jhongjheng Rd., Shihlin District, Taipei City 11, Taiwan (R.O.C.)

Please send a proof of your payment to INTERCOM 2006 Conference Secretariat after registered.
E-Mail: intercom2006@cam.org.tw
Fax: 886-2-2883-3555

Online Credit Card Payment ( Visa Master AMEX JCB)

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