Online Registration Form
This application form is applicable for Non PRC Identity Card Holder.
One form for one person. Incompleted form will not be processed. The Organizer reserves the right to change the content of the conference program without prior notice.
Mandatory fields are marked with *
First Name:
* Last Name * Mr/ Ms/ Mrs
Job Title:
*
Department:
Company:
Address:
Province/City:
Country:
ZIP/Postal Code:
Tel:
Fax:
Email:
Ticket Price
Pre-Register and Pay on or before April 30, 2006
Register on-site
Full Conference Pass
USD500
USD600
* Full Pass includes attendance to all sessions and exhibition area, show directory, lunch. Admittance will only be permitted upon receipt of full payment.
Below questions must be completed to process your registration. Please select the appropriate option.
1. Company / Industry Description (Check one only)
01 Carrier 02 Wireless / Mobile Carrier 03 Cable Television Operator / Broadcasting 04 Satellite Service Operator 05 Carrier Value-added Services Provider 06 Competitive Access Provider / CLEC / Data LEC (DLEC) 07 Network Service Provider / Gigabit Ethernet Operator 08 Content Developer / Content Provider 09 telco equipment manufacturer 10 Video Device/Set top box Manufacturer 11 Hardware / Software Development 12 network Security/data security/contect protect provider 13 Education / Research 14 Financial / Investment 15 Financial / Investment 16 Legal Services/Consulting Firm 17 Dealer / Distributor / Agent / VAR 18 Other(Please specify)
Please specify:
2. Primary Job Function (Check one only)
01 Corporate Management 02 Management/Product Management 03 network/system management 04 Hardware / Software / Content Development 05 Engineering / Technical 06 Internet Services / Web Design & Development 07 Sales / Marketing / Business Development / Public Relation 08 customer management/billing system 09 Consulting 10 Investment Banking / Venture Capital 11 Education / Researching 12 Other(Please specify)
3. COMPANY SIZE
01 Less Than 50 02 Less Than 100 03 Less Than 500 04 Less Than 1000 05 More Than 1000
4. Topic of Interests and Purpose of Attending (Check all that apply)
01 Access Solutions 02 Broadband Networks / Intelligent Networks / Optical Networking 03 DSL Technology / Services 04 IP Network Services 05 Video / Set-Top Box 06 LMDS / MMDS / Microwave 07 Multimedia Applications 08 Network Security / Management / Services 09 Content / Content Protection 10 Customer Care / Billing / Enhanced Services 11 Bandwidth on Demand Services 12 Other(Please specify)
5. Obtained Show Information From
01 Direct Mail 02 Newspaper(Please specify) 03 Magazine(Please specify) 04 Colleague/Vendor 05 Internet 06 Email 07 Other(Please specify) Please specify:
Payment
Bank Transfer
Please pay to:
World Services Ltd.,
HSBC, 401 Pacific Place Branch II, 88 Queensway, Hong Kong.
A/C No: 593 141138 838.
Bank charges are to be deducted from the participating organisations' own account and the full fee must be received by the organizer.
Please notify Maggie Li at maggie.li@infoexws.com of transfer in order for the proper credits to be applied.
Cheque/Bank Draft
Please mail with the registration form to World Services Ltd., Room 202, Tesbury Center, 28 Queen¡¯s Road East, Hong Kong.
Payable to: World Services Ltd.
Please check your information carefully before submitting the form.
Copyright© 2006, InfoEX-World Services Ltd. All rights reserved.