This form is for registering for the Summit only. The registration fee is HK$4,500 per person. (Group discount: For group registration of over 5 passes, a 20% discount will be offered.)  All registrations are subject to availability and approval.

*mandatory fields
 

Referred By:
OPT Hours required:	PWMA OPT (please be reminded to sign-in AND sign-out at the registration counter on the day)
Payment Type:	Cheque Bank Transfer / TT Online Credit Card Payment (Visa/MasterCard, 5% bank charges will be applied)
Salutation*:	--Select-- MR MS MRS DR
First Name (English)*:
Surname (English)*:
Company/Organization*:
Job Title*:
Department*:
Address*:
City:	--Select-- Adelaide Agra Ahmedabad Athens Auckland Baghdad Bangalore Bangkok Beijing Belgrade Berlin Boston Brisbane Brussels Buenos Aires Cairns Cairo Cairo Calcutta Canberra Cape Town Cebu Changdigarh Chennai Chicago Chongqing Christchurch Copenhagen Darwin Delhi Dhaks Guangzhou Hangzhou Hanoi Ho Chi Minh City Hobart Hong Kong Houston Hyderabad Istanbul Jaipur Jakarta Johannesburg Karachi Karachi Kolkota Kuala Lumpur London Los Angeles Madrid Manila Melbourne Mexico City Miami Moscow Mumbai Muscat New Delhi New York Osaka Paris Perth Pune San Francisco Santiago Sao Paulo Seattle Seoul Shanghai Shenzhen Singapore Sydney Taipei Tehran Thiruvananthapuram Tianjin Tokyo Toronto Urumqi Vancouver Washington Wellington Xiamen Zhuhai Zurich
Location*:	--Select-- Afghanistan Albania Argentina Australia Bahamas Bahrain Bangladesh Belgium Bermuda Bhutan Bolivia Botswana Brazil Brunei Bulgaria Burma Cambodia Canada Canadian Chile China Colombia Croatia Cyprus Czech Republic Denmark Dubai Ecuador Egypt Estonia Ethiopia Fiji Islands Finland France Germany Ghana Greece Hong Kong Hungary India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Japan Kazakhstan Kenya Korea Kuwait Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Malaysia Maldives Malta Mauritius Mexico Monaco Mongolia Morocco Nepal Netherlands New Zealand Nigeria Norwegian Oman Pakistan Papua New Guinea Peruvian Philippines Poland Portugal PRT Qatar Romania Russia Saudi Arabia Scotland Serbia Sierra Leone Singapore South Africa Spain Sri Lanka Sweden Switzerland Taiwan Thailand Tunisia Turkey Uganda Ukraine United Arab Emirates United Kingdom United States Uzbekistan Venezuela Vietnam Yugoslavia
Email (work)*:
Contact Person Email (if different from above):
Mobile:	( ) -
Office Tel*:	( ) -
Office Fax:	( ) -
By registering for this conference, you agree to our Terms and Conditions listed here. Privacy: Personal data are gathered in accordance with the Personal Data (Privacy) Ordinance. The personal data collected may be used for statistical purposes, and for marketing of PWMA's own events/activities. Also, the delegate list (name, title & company name only and without contact details) will be made available to the event sponsors. Please be rest assured that PWMA/Plus Concepts will not provide your contact details to any third parties. PWMA/Plus Concepts will cease to use the personal data for any purposes if you request us to do so and accordingly the personal data will be erased and/or destroyed. Please check this box if you do NOT want your personal data to be used by PWMA for marketing of its own events/activities. Please check this box if you do NOT wish to have your information released to the sponsors.