On-line Enrollment Form

To: CIE (HK) Ltd.
Please enroll the following delegate(s) for the 2011 International Lighting Symposium:

Name	Organization Name If applicable (See Remark)	Member Number If applicable (See Remark)	Fee for Member HKD 1,000 (See Remark)	Fee for Non-Member HKD 1,200 (See Remark)
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
TOTAL:			$	$
GRAND TOTAL (Member & Non-Member):				$
Remark: Member of CIE(HK) or Supporting Organization, Please providee name of organization and membership Number. For member, the enrollment fee is HKD 1,000. For Non-member, the enrollment fee is HKD 1,200.

Company/Institution:
Address:
Contact Person:
Contact Phone Number:
Contact Fax Number:
Contact Email:

Payment shall be made by cheque payable to "CIE (Hong Kong) Limited"

Cheque Number:
Bank Name:

Please mail the cheque to:
Ms. Sunny Kong,
c/o Yook Tong Electric Co. Ltd., Rm 1403-04, 14/F, World-Wide Industrial Centre, 43-47 Shan Mei Street, Fotan, N.T., Hong Kong.

For Enquiry, please email to registration@cie.org.hk

Remark: No refund can be made for cancellation, but a substitution delegate is allowed.