2005 Conference Pre-registration Form
To ensure a smooth registration process and expedited admission to the Conference, please register early. Registration before October 1 will be considered early-bird registration and is free of charge. Those registering after October 1 will be charged a registration fee of 150RMB (or 20USD). Payment must be made on site.
Complete the following information in English.
Personal Information:
Family Name: ________________Given Name(s): _____________Title: Ms. / Mr. / Dr. / Prof.
Occupation: ______________________________
Affiliation: __________________________________________________________________
Contact Information:
Email Address: _____________________________________________________________
Mailing Address: (Write your address as you wish for it to appear on an envelope.)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Accommodation:
___ Hotel reservation made. Reservation Number: _____________________
___ Making own hotel arrangements.
Check the appropriate space and fill in the blanks below.
Status: ( ) Invited Speaker (Plenary or Featured) ( ) Individual Presenter
( ) Attendee
Date: _________________Signature:___________________________________________
(month / day / year ) (Sign name if faxing form; type name if emailing it.)
Send this form to: (Fax) +86-10-8208-6663 or
Email to Ms. Xiao Qiong: AsiaTEFL@hep.com.cn
The 3rd Asia TEFL International Conference Committee
The Asian Association of Teachers of English as a Foreign Language
