1. Credit card :US$ Bank name : HUA NAN COMMERCIAL BANK, LTD. TAI TA BRANCH I authorize to charge the amounts to the following credit card SWIFT CODE : HNBKTWTP154 Type of credit card: VISA MASTER Bank address : NO.1, SEC. 4, ROOSEVELT RD, TAIPEI, TAIWAN, Cardholder’s name: Expired date: 106 Card number: Account number : 154-10-000519-2 Signature: Account name : THE GEOGRAPHICAL SOCIETY OF CHINA 2. Bank transfer LOCATED IN TAIPEI Note: A copy of the bank transfer must be sent to the Convener or to wwang@ntnu.edu.tw Name: ……………Male/Female: …..… E-mail: ……………… Address: ………………………………………………………… Telephone No.: …………..………Fax No: ….………………… Title of talk / poster: ……………………………….…………… Accompanying person: ………………….……………………… Accommodation required: single / double / twin (Please tick) Registration fees can be paid in the following ways:
Bank name : HUA NAN COMMERCIAL BANK, LTD. TAI TA BRANCH SWIFT CODE : HNBKTWTP154 Bank address : NO.1, SEC. 4, ROOSEVELT RD, TAIPEI, TAIWAN, 106 Account number : 154-10-000519-2 Account name : THE GEOGRAPHICAL SOCIETY OF CHINA LOCATED IN TAIPEI Note: A copy of the bank transfer must be sent to the Convener or to wwang@ntnu.edu.tw Name: ……………Male/Female: …..… E-mail: ……………… Address: ………………………………………………………… Telephone No.: …………..………Fax No: ….………………… Title of talk / poster: ……………………………….…………… Accompanying person: ………………….……………………… Accommodation required: single / double / twin (Please tick) Registration fees can be paid in the following ways: 1. Credit card :US$ I authorize to charge the amounts to the following credit card Type of credit card: VISA MASTER Cardholder’s name: Expired date: Card number: Signature: 2. Bank transfer
Taiwan%202016%20June.docx