Confirming Registration Information

 

        Family Name: ___________________________

        First Name: __________________

        Title: _________________________________

        Company/Affiliation: _________________________________

        Postal Address: ______________________________________

        ____________________________________________________

        Phone:____________________

        Fax:______________________

        E-mail:____________________________________

        

       

       *Flight Number at Lanzhou Airport: ________________________

       *Arriving Time at Lanzhou Airport: ________________________

       *Names of Accompanying persons: ________________________________

       *Hotel and Room style:______________________;

       *Rooms Needed:__________

        

        Returning Flight:

        Name: ______________________; Passport Number: ________________

        Departure Date: ______________

        Departure Place: ___________________; Destination:________________

        Flight number: ___________________

       *I (we) plan to participate on the Fileld Excursion (August 10-16) ____________

       Please return this form BEFORE June 30, 2006.