For Your Visa
  Personal Information
Name:
     * Mr.  Ms.
Title:
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Country:
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Passport No.:
  
Organization:
   　  * Zip/Postal Code:  
Address:
  
E-Mail:
   　  *
Telephone:
  
Fax:
  
Team Registration:
  
Research Field:
  
Comment:  
  Hotel Information
Food Choices:
   1. Vegetarian 　 2. No Pork 　 3. No Seafood 　 4. No Preference
Check-in Date:
  
Check-out
Date:
  
Check Room Single Room 　 Double Room Extra bed:
  Select Conference Items
Session Name:  
Participants: Speaker: Exhibitors: Panels:
Sponsors: Media: Papers: Only Buy Datas:
Other:  
  Only registration fee & Package
 For the detailed information about the Package, please click here.
Ticket Type:
 Only Registration  Package A  Package B  Other 
  Special Needs
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  Payment Methods
  Payment: $ (All payments must be in US dollars)
 1. Payment by Credit Card
Visa Card
  Master Card
American Express Card
 
Credit Card Number:
  
Expiration Date:
   YEAR: 　MONTH:
Name of the Card Holder:
  
Security Code ( Last 3 or 4 digits):
  
 2. Payment by Telegraphic Transfer
Telegraphic Transfer
Payment by Bank Telegraphic Transfer

THE DETAIL OF REMITTANCE

1.BENEFICIARY'S BANK:

BANK OF CHINA, LIAONING BRANCH DALIAN HI-TECH SUB-BRANCH, DALIAN, CHINA

TLX: 86163 CDB CN

SWIFT: BKCHCNBJ810

2. BANK'S ADDRESS:

NO.2 GAOXIN STREET QIXIANLING INDUSTRIAL BASE OF DALIAN HI-TECH

INDUSTRIAL ZONE DALIAN CHINA

3. BENEFICIARY'S A/C NO: 1582 4108 0910 14

4. BENEFICIARY'S NAME : Dalian BITeomics, Inc.

NOTE: Please mark your payment to “WCP-2010"