Registration and Hotel Reservation Form - BIR

Airport Pick-upMCI GROUP ASIA PACIFIC offers individual airport pick-up from the airports Pudong International and Hongqiao (prices see programme ‘Access’).This service will be invoiced separately.q I would like to take advantage of the airport pick-up.Payment / Paiement / Zahlungq Credit cardq Visa q MasterCard q AMEXI hereby authorize MCI GROUP ASIA PACIFIC to debit my credit card :Credit card number AAAA - AAAA - AAAA - AAAAExpiry date AA /AA CVV code AAAACard holder’s name (please print) AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAACard holder’s signatureq Bank transferAccount Name:MCI Group Asia Pacific Pte LtdAccount Number: 260-664438-178Bank Name:The Hong Kong and Shanghai Banking Corporation LimitedBank Address: 21 Collyer Quay, #01-00 HSBC Building, Singapore 049320Swift Code:HSBCSGSGReference:BIR Shanghai Convention + Name of the Company + Name of Delegate(s)I have read and herewith accept the terms and conditions of participation indicated in the provisional programme:DateSignatureCANCELLATION OF THE CONVENTION AND UNABILITY OF A REGISTERED DELEGATE TO ATTENDIn the case of strikes, flood, fire, “force majeure” or any other circumstances beyond the control of BIR resulting in the partial or complete cancellation of theconvention (and of any part of its programme), BIR cannot be held liable. No refund of the registration fees or of the hotel pre-payment/deposits will be made.BIR - REPRESENTING THE FUTURE LEADING RAW MATERIAL SUPPLIERSBureau of International Recycling (aisbl)Avenue Franklin Roosevelt 241050 BrusselsBelgiumT. +32 2 627 57 70F. +32 2 627 57 73bir@bir.orgwww.bir.org