Registration Form: 4th International China Coalbed Methane/Coal Mine Methane (CBM/CMM) Symposium
December 1-2, 2004 at Kunlun Hotel in Beijing, China
Please provide the following contact information:
First Name Middle Name Last Name Title Company Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone FAX E-mail *Date of Birth *Sex *Nationality *Passport Number *Passport Expiration Date
Please check the appropriate boxes:
I expect to attend the Symposium
I wish to submit a paper (if so, please e-mail or fax abstract to one of the conference organizers.)
I wish to obtain more information on sponsoring the Symposium. Please send me information.
Will you stay at the Kunlun Hotel in Beijing, China?
Yes (if yes, a block of rooms is available at a reduced price, and we will reserve a room for you. Please indicate the dates that you will stay, whether you prefer a smoking or non-smoking room, and whether you have any other special requirements). .
No (if no, please give the name and phone number of the hotel where you will stay)
Registration Fee: $US 300
Fee is payable in check or cash upon arrival at the Symposium.
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