First Name

Last Name

Chinese Name

Nickname on Name Tag

Affiliation

Position

Phone Number

Email*

Postal Address

Gender:
Male Female

Mainland Chinese Participant:
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I am a presenter or discussant:
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I am a CAPANA member:
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For non-member, do you wish to become a CAPANA member?
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Mark all the events that you plan to attend.
July 10: Dinner
July 11: Breakfast Lunch Dinner
July 12: Breakfast Lunch

Have you paid the registration fee through PayPal?
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