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Prime Minister Dinner in Guangzhou
                                              February 10, 2012
                                        SHANGRI-LA HOTEL – GUANGZHOU

                                        TICKET PURCHASE FORM


RMB 1800 each X _________                          CANCHAM members
                   (Quantity)

RMB 3600 each X _________                          Non-members
                   (Quantity)

RMB 30,000 each X _________                        Corporate Table (8 seats)
                   (Quantity)



Name:                                                     Position:

Company:                                                  Address:

Telephone:                                                Fax:

E-mail:

Please write below the name(s), title and company name of the guest(s) using the banquet ticket(s).
             Full Name                      Title                        Organization




CASH PAYMENT OR BANK TRANSFER ONLY – Your ticket(s) will be confirmed upon receipt of full payment.
Please send cash payments in Shanghai to the following officer and address:

                                     To: Rebecca Copelovici/瑞贝卡
                                     Rm 2805, 172 Yuyuan Road
                                     中国上海市愚园路 172 号 2805 室

BANK TRANSFER INSTRUCTIONS:


Cancellation policy: Cancellations, less a 10% administration fee, will be refunded until February 6, 2012. No
refunds will be made after February 6, 2012.
Bank Name: China Construction Bank, Jing An Sub Branch
 开户行: 中国建设银行静安支行
 Bank Address:172 Yuyuan Road, Jing An District, Shanghai china
 开户行地址:中国上海静安区愚园路 172 号
 Account Name: CARLEE PULFORD
 Account Number:6227 0012 1684 0439 214
 Swift Code:PCBCCNBJSHX




Cancellation policy: Cancellations, less a 10% administration fee, will be refunded until February 6, 2012. No
refunds will be made after February 6, 2012.
G zdinner2012 ticketpurchaseform

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G zdinner2012 ticketpurchaseform

  • 1. Prime Minister Dinner in Guangzhou February 10, 2012 SHANGRI-LA HOTEL – GUANGZHOU TICKET PURCHASE FORM RMB 1800 each X _________ CANCHAM members (Quantity) RMB 3600 each X _________ Non-members (Quantity) RMB 30,000 each X _________ Corporate Table (8 seats) (Quantity) Name: Position: Company: Address: Telephone: Fax: E-mail: Please write below the name(s), title and company name of the guest(s) using the banquet ticket(s). Full Name Title Organization CASH PAYMENT OR BANK TRANSFER ONLY – Your ticket(s) will be confirmed upon receipt of full payment. Please send cash payments in Shanghai to the following officer and address: To: Rebecca Copelovici/瑞贝卡 Rm 2805, 172 Yuyuan Road 中国上海市愚园路 172 号 2805 室 BANK TRANSFER INSTRUCTIONS: Cancellation policy: Cancellations, less a 10% administration fee, will be refunded until February 6, 2012. No refunds will be made after February 6, 2012.
  • 2. Bank Name: China Construction Bank, Jing An Sub Branch 开户行: 中国建设银行静安支行 Bank Address:172 Yuyuan Road, Jing An District, Shanghai china 开户行地址:中国上海静安区愚园路 172 号 Account Name: CARLEE PULFORD Account Number:6227 0012 1684 0439 214 Swift Code:PCBCCNBJSHX Cancellation policy: Cancellations, less a 10% administration fee, will be refunded until February 6, 2012. No refunds will be made after February 6, 2012.