2019 KIWANIS ASPAC CONVENTION

Taipei City, Taiwan March 8 – 9, 2019

FORM 1－KIWANIAN INDIVIDUAL REGISTRATION FORM
CONVENTION REGISTRATION FEES
Convention Registration Fee Early Bird (Till December 31,2018) US$ 230.00
Convention Registration Regular Fee (Start January 1, 2019) US$ 250.00
Final deadline（February 13, 2019）
For a better operation, onsite registration is not available. Sorry for the inconvenience.
Kiwanis Club of District
PS: If you are a member's family, please tick and provide the member's name.
□Member's family （Member's name： ）
Highest position held
Club/District/International
Last name First name
Name Gender □M □F

Tel. No. Fax No. Mobile

E-mail
Dietary □ None Type of □ Early Bird □ Regular Fee
Requirement □ Vegetarian Registration fee US$ 230.00 US$ 250.00
Flight Arrival Date Arrival airport
information
Notes
MODE OF PAYMENT：
Through U.S.A. dollar bank transfer：
Please make payments in full (do not deduct any bank service charge) through：
Beneficiary Bank： Land Bank of Taiwan , Taichung Branch
No.1, Sec. 2, Ziyou Rd., Central Dist., Taichung City ,
(408)Taiwan
Swift code：LBOTTWTP024
Name of Beneficiary： Taiwan District of Kiwanis International
Account Number： 024-101-00748-7
Kindly fax/email this registration form and copy of bank transfer receipt to the Convention
Secretariat：
※If you sign up in groups and remit money, please submit the list by EXCEL form.
2019 ASPAC Convention Secretariat
7F-3, 666, Sec 2.Wu Chuan W. Rd., Taichung City, (408)Taiwan
Email：kiwanis@kiwanis.org.tw
Tel. (886) 4-23847148 Fax：(886) 4-23847151 Website：www.kiwanis.org.tw