CRIDALA 2000 Online Registration

FORM 3: REGISTRATION FORM

(Please submit a form for each participant.)

Personal Details:

Family name:
Title (Prof./Dr/Mr/Ms):
First name:
Name to be appear on conference badge:
Job title/position:
Institution/organization:
Address:

State:
Postal code:
Country:
Tel:
Fax:
E-mail address:
Address where all correspondence should be sent, if different from the above:
Are you a presenter at the above conference? Yes No

Note: Co-authors who are presenting will have to complete a separate registration form.

Accommodation Reservation:
Kindly indicate your first, second, and third choice of hotels*

Royal Plaza Hotel HK$680 twin bed double bed
The Metropole Hotel HK$400 twin bed double bed
Stanford Hotel HK$420 twin bed double bed
YMCA International House:
New Block
Standard Block
HK$440
HK$330
twin bed double bed
twin bed double bed
YWCA Anne Black Guest House HK$253 twin bed double bed

Name of accompanying person (if any):

Arrival date:

Departure date:

* The secretariat cannot guarantee accommodation for you if the accommodation deposit is not received by May 12, 2000.
Except for Royal Plaza Hotel, these rates do not include breakfast.

Dietary Requirements:
Please indicate special dietary preferences:
Vegetarian Others (please specify)

Social Activities:
The afternoon of Friday June 23, 2000 will be available for tours and other activities. Delegates have the option of one of the following programmes. Please rank choices (1, 2, and 3) in order of preference below just in case we cannot give you your 1st choice. Please note that these prices are approximate, and the balance of payment will be collected at Conference Registration.

TOUR CHOICE
A Half-day tour of Hong Kong Island HK$290
B Half-day tour of Kowloon and New Territories HK$290
C Museums HK$120
D Ocean Park HK$190

Do you have people accompanying you who will participate in the tour? If YES please complete the table below: YES NO
Number of Accompanying Persons:

On Friday evening June 23, 2000 a not-to-be-missed Conference dinner cruise is arranged for delegates. This will take place on Hong Kong's famous harbour. Delegates do not need to pay for this event as it is part of the programme. The cost for accompanying persons who wish to join the cruise will be US$40 each.

Do you intend to participate in the Conference dinner cruise? YES NO
Number of Accompanying Persons:

Fees:
Early Bird1 After March 15, 2000
Conference
Standard
Student

US$270
US$200
US$300
US$200
Accommodation deposit2 US$100 US$100
I will arrange my own accommodation
Conference dinner cruise (US$40 x accompanying persons)
Total: US$

1 Payment must be received by March 15, 2000 to qualify for the Early-Bird package registration.
2 The secretariat cannot guarantee accommodation for you if the accommodation deposit is not received by May 12, 2000.
* Currency conversion: US$1.00 is approximately equivalent to HK$7.80

Methods of Payment:
Full payment for conference registration and other fees must accompany your registration form and it should be made payable to: The Open University of Hong Kong. Confirmation of registration will be made upon receipt of your payment.

Cheque no./Bank draft no.:

For the sum of: US$ / HK$

Bill my credit card the sum of: US$ / HK$

Visa Master Card

Card no.

Expiry date:

Cardholder's name:


Cardholder's signature: _________________________ Date: ____________

Please return to: CRIDALA 2000, Centre for Research in Distance & Adult Learning, The Open University of Hong Kong, 30 Good Shepherd Street, Homantin, Kowloon, HONG KONG.
Tel: (852) 2768 6701 Fax: (852) 2715 9042 Email: cridala@ouhk.edu.hk

Cancellation policy: A 50% refund will be issued for written cancellation received before June 1, 2000. A substitution can be made at any time with written permission from the original registrant. No refunds will be made after June 1, 2000.