2015 ULI ASIA PACIFIC SUMMIT 2 - 4 JUNE, 2015 • TOKYO • JAPAN EARLY BIRD SINGLE REGISTRATION FORM EARLY BIRD EACH REGISTRANT MUST COMPLETE A SEPARATE REGISTRATION FORM. PLEASE PRINT REGISTRATION DEADLINE: OUT THIS FORM AND FILL THE INFORMATION, YOU MAY ATTACH A BUSINESS CARD. 17 April, 2015 REGISTRATION METHODS Member ID (if applicable): _______________________________ Mr. Ms. Mrs. First Name: ____________________________ Last Name: _________________________________ E-MAIL: [email protected] Name (CN/JP): _____________________________________________________________________ FAX: +852 3017 5595 Organization Name (English):__________________________________________________________ MAIL: ULI Asia Pacific Organization Name (CN/JP):____________________________________________________________ Level 16, Nexxus Building 41 Connaught Road Central Job Title: ___________________________________________________________________________ Hong Kong Address: ___________________________________________________________________________ PHONE: +852 3757 9695 City: _______________________________________ Postal Code: ____________________________ Country: ____________________________________________________________________________ E-mail (required for confirmation): ________________________________________________________ Mobile #: ___________________________________________ Office #: _________________________ MEETING REGISTRATION FEES The registration fee includes all general and concurrent programs, full conference documentation, lunch and refreshments. The fee does not include hotel accommodation. Early Bird Fee Structure Membership Type ULI Member USD 1,450 ULI Member under 35/Retired USD 1,200 ULI Member – Public (NGOs and Academia) USD 1,200 Non-Member If under 35, please state your date of birth: __________________ USD 1,950 Non-member registration fees include a one year ULI Associate membership; memberships will be processed AFTER the summit. Non-Member – Public (NGOs and Academia) If under 35, please state your date of birth: __________________ USD 1,340 Non-member registration fees include a one year ULI Associate membership; memberships will be processed AFTER the summit. *Please note that the above rates are Early Bird Rates and will expire on 17 April 2015 at midnight. PAYMENT INFORMATION 1. Credit Card (USD) VISA MasterCard American Express Card Number ______________________________________________________ Expiry Date ______________________ Cardholder’s Name _______________________________________ Cardholder’s Signature ________________________ 2. Bank Transfer Bank transfer to ULI-the Urban Land Institute’s bank account (USD – ULI receipts issued) Account Name: ULI–the Urban Land Institute Beneficiary Bank: Bank of America N.A. Hong Kong Bank Address: 9/F, Devon House, 979 King’s Road, Quarry Bay, Hong Kong Account No.: 055-757-81869014 SWIFT: BOFAHKHX Payment remarks: # Please note all bank transfer fees will be paid by the individual themselves and that when transfers are made, to designate the payment with their last name first followed by their first name in Roman Characters. # Please send a scanned copy of the deposit receipt to us at [email protected] for record REGISTRATION INSTRUCTIONS Be sure to provide your E-mail address. By doing so, an E-mail confirmation containing information regarding how to reserve your hotel room will be sent within 72 hours of receipt of your completed registration. HOW TO REGISTER: EMAIL: [email protected] • FAX: +852 3017 5595 • MAIL: ULI Asia Pacific, Level 16, Nexxus Building, 41 Connaught Road Central, Hong Kong PHONE: Hong Kong +852 3757 9695 PAYMENT POLICY th Payments can be made by bank transfer (USD) or credit card (USD). Full payment must be received before April 30 , 2015 or Regular registration rate will be applied. For more information regarding administrative polices, please email to [email protected] or call +852 3757 9695. CANCELLATION POLICY All cancellations must be made in writing – proof of receipt will be required. E-Mail: [email protected] or fax to ULI at (852) 3017 5595. Verbal requests for refunds will not be accepted. Cancellation of a meeting registration does not constitute cancellation of a hotel room. Please be sure to handle both separately. All cancellations received more than fourteen (14) days prior to the conference will be subject to a charge of 50% of the registration fee. All cancellations received fourteen (14) or fewer days prior to the conference will require payment of the full registration fee. Registrations can be transferred to another eligible member of your organization at no extra charge. All requests must be made in writing. If a registration is transferred from a ULI member to another ULI member, the member fee will apply. If a registration is transferred from a ULI member to a nonmember, the nonmember fee will apply. ULI reserves the right to alter the programme without notice including the substitution, alteration or cancellation of speakers and / or topics and / or the alteration of the dates of the event. ULI is not responsible for any loss or damage as a result of a substitution, alteration, postponement or cancellation of an event.
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