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70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
1
Registration Form – APAA Members
Please read the registration information on the website www.apaa2019.com carefully before registering.
Online registration is available on the website at www.apaa2019.com from May 9, 2019. We
recommend that you register online.
Offline registration can be made by filling the form below and sending to the Conference Secretariat by
email ([email protected] )or by fax (+886 2 8789 3603).
SECTION 1 – APAA MEMBER (This Section MUST be completed)
Council Member (please check) □ Member ID No.
Title □Dr. □Mr. □Mrs. □Ms. E-mail
First Name Family Name
Name on Badge
Firm / Organization
Address
City State Zip Code Country
Tel + Area Code Mobile
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
Please tick as appropriate
□ I want my contact information (i.e. name of the attendee, name of the firm/organization, and the
hotel) to be included in the List of Participants.
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
2
Receipt Information
Please provide your receipt title in English.
請以英文填寫您的機構英文名稱(收據抬頭)與統一編號,此資訊將呈現於收據上
Receipt Title
中文發票抬頭 (Taiwanese only)
統一編號(Taiwanese only)
Excursion Day Program – November 11, 2019 Please Select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1, 2&3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in official
excursion, and are advised to carry his/her own travel insurance before departure from the
country of origin.
Participants who choose to participate in official excursion but do not wish to provide following
information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
3
Tour Code Name of Tour Capacity
(Participant) Preference
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
E7 North Coast Scenic Wonders 120
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
4
SECTION 2 – ACCOMPANYING FAMILY PERSONS (AFP)
AFP 1
Title □Dr. □Mr. □Mrs. □Ms.
First Name Family Name
Name on Badge
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in
official excursion, and are advised to carry his/her own travel insurance before departure from
the country of origin.
Participants who choose to participate in official excursion but do not wish to provide
following information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
5
AFP 1 Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
6
Tour Code Name of Tour Capacity
(Participant) Preference
E7 North Coast Scenic Wonders 120
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
AFP 1 ACCOMPANYING FAMILY PERSONS’ TOURS (AFP Programs) Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Preference
November 10, 2019
AFP1 Taiwanese Cooking Classroom
AFP2 Pineapple Shortcakes—Learn to Make Them!
AFP3 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/10 Program. □
November 12, 2019
AFP4 Experience the beauty of Hakka Indigo
AFP5 Taiwanese Tea Art Appreciation
AFP6 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/12 Program. □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
7
AFP 2
Title □Dr. □Mr. □Mrs. □Ms.
First Name Family Name
Name on Badge
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in
official excursion, and are advised to carry his/her own travel insurance before departure from
the country of origin.
Participants who choose to participate in official excursion but do not wish to provide
following information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
8
AFP 2 Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
E7 North Coast Scenic Wonders 120
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
9
Tour Code Name of Tour Capacity
(Participant) Preference
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
AFP 2 ACCOMPANYING FAMILY PERSONS’ TOURS (AFP Programs) Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Preference
November 10, 2019
AFP1 Taiwanese Cooking Classroom
AFP2 Pineapple Shortcakes—Learn to Make Them!
AFP3 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/10 Program. □
November 12, 2019
AFP4 Experience the beauty of Hakka Indigo
AFP5 Taiwanese Tea Art Appreciation
AFP6 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/12 Program. □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
10
AFP 3 Child (7-12 years old)
Title □Mr. □Ms.
First Name Family Name
Name on Badge
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in
official excursion, and are advised to carry his/her own travel insurance before departure from
the country of origin.
Participants who choose to participate in official excursion but do not wish to provide
following information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
11
AFP 3 Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
12
Tour Code Name of Tour Capacity
(Participant) Preference
E7 North Coast Scenic Wonders 120
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
AFP 3 ACCOMPANYING FAMILY PERSONS’ TOURS (AFP Programs) Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Preference
November 10, 2019
AFP1 Taiwanese Cooking Classroom
AFP2 Pineapple Shortcakes—Learn to Make Them!
AFP3 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/10 Program. □
November 12, 2019
AFP4 Experience the beauty of Hakka Indigo
AFP5 Taiwanese Tea Art Appreciation
AFP6 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/12 Program. □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
13
SECTION 3 – ACCOMPANYING OFFICE PERSONNEL (AOP)
AOP 1
Title □Dr. □Mr. □Mrs. □Ms. Member ID No.
First Name Family Name
Name on Badge
Firm / Organization
Address
City State Zip Code Country
Tel + Area Code Mobile
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
Please tick as appropriate
□ I want my contact information (i.e. name of the attendee, name of the firm/organization, and the
hotel) to be included in the List of Participants.
□ I declare that the above person is not professionally qualified for the membership of the APAA and
is qualified in IP matters & working in my firm in the same jurisdiction.
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
14
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in
official excursion, and are advised to carry his/her own travel insurance before departure from
the country of origin.
Participants who choose to participate in official excursion but do not wish to provide
following information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
15
Tour Code Name of Tour Capacity
(Participant) Preference
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
E7 North Coast Scenic Wonders 120
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
16
AOP 2
Title □Dr. □Mr. □Mrs. □Ms. Member ID No.
First Name Family Name
Name on Badge
Firm / Organization
Address
City State Zip Code Country
Tel + Area Code Mobile
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
Please tick as appropriate
□ I want my contact information (i.e. name of the attendee, name of the firm/organization, and the
hotel) to be included in the List of Participants.
□ I declare that the above person is not professionally qualified for the membership of the APAA and
is qualified in IP matters & working in my firm in the same jurisdiction.
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
17
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in
official excursion, and are advised to carry his/her own travel insurance before departure from
the country of origin.
Participants who choose to participate in official excursion but do not wish to provide
following information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
18
Tour Code Name of Tour Capacity
(Participant) Preference
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
E7 North Coast Scenic Wonders 120
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
19
GOLF EXCURSION – RENTAL OF CLUBS
A limited number of golf clubs are available for hire (surcharge USD65). It is recommended that you carry
your own.
□ No, I will carry my own clubs.
NAME RIGHT-HANDED CLUBS LEFT-HANDED CLUB
SECTION 4 – PAYMENT SUMMARY
Category Early bird Regular Fee Amount
Member
AFP 1
AFP 2
AFP 3 Child (7-12 years)
AOP 1
AOP 2
Rental of Golf Clubs
TOTAL
Payment
Methods of payment: □ Wire/ Bank Transfer □ Online Credit card
Registration will only be processed and confirmed when full payment is made.
Payment can be made on line by credit card – MasterCard/ VISA/ JCB.
Payments for offline registrations can be made by bank transfer. If you are remitting the fees via bank
transfer, please add USD50 to the total amount to cover administrative charges. All payment should be
made in full amount. All bank charges for remittance by bank transfer will be borne by the participants.
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
20
Please write to [email protected] to receive the online link or the bank transfer details to make the payment with a scanned copy of this form filled with selection.
CANCELLATION & REFUND POLICY
To cancel your registration, a written request for a refund must be received at
The refund policy is as follows:
On and before August 8, 2019:80% of the registration fee (Golf fee:Full refund)
Between August 9 and September 9, 2019:50% of the registration fee (Golf fee:Full refund)
On and after September 10, 2019:No refund (Golf fee:No refund)
□ I have read and accepted the terms applicable for the 70th Council Meeting of the Asian Patent
Attorney Association APAA Member’s signature _________________________ Date _________________________________
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
21
Registration Form – APAA Observer
Please read the registration information on the website www.apaa2019.com carefully before registering.
Online registration is available on the website at www.apaa2019.com from May 9, 2019. We
recommend that you register online.
Offline registration can be made by filling the form below and sending it to the Conference Secretariat
by email ([email protected] )or by fax (+886 2 8789 3603).
SECTION 1 – OBSERVER (This Section MUST be completed)
Please tick as appropriate
□ I want my contact information (i.e. name of the attendee, name of the firm/organization, and the
hotel) to be included in the List of Participants.
Title □Dr. □Mr. □Mrs. □Ms. Observer ID No.
First Name Family Name
Name on Badge
Firm / Organization
Address
City State Zip Code Country
Tel + Area Code Mobile
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
22
Receipt Information
Please provide your receipt title in English.
請以英文填寫您的機構英文名稱(收據抬頭)與統一編號,此資訊將呈現於收據上
Receipt Title
中文發票抬頭 (Taiwanese only)
統一編號(Taiwanese only)
Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in official
excursion, and are advised to carry his/her own travel insurance before departure from the
country of origin.
Participants who choose to participate in official excursion but do not wish to provide following
information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
23
Tour Code Name of Tour Capacity
(Participant) Preference
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
E7 North Coast Scenic Wonders 120
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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SECTION 2 – OBSERVER ACCOMPANYING FAMILY PERSONS (OAFP)
OAFP 1
Title □Dr. □Mr. □Mrs. □Ms.
First Name Family Name
Name on Badge
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in
official excursion, and are advised to carry his/her own travel insurance before departure from
the country of origin.
Participants who choose to participate in official excursion but do not wish to provide
following information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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OAFP 1 Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
E7 North Coast Scenic Wonders 120
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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Tour Code Name of Tour Capacity
(Participant) Preference
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
OAFP 1 ACCOMPANYING FAMILY PERSONS’ TOURS (AFP Programs) Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Preference
November 10, 2019
AFP1 Taiwanese Cooking Classroom
AFP2 Pineapple Shortcakes—Learn to Make Them!
AFP3 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/10 Program. □
November 12, 2019
AFP4 Experience the beauty of Hakka Indigo
AFP5 Taiwanese Tea Art Appreciation
AFP6 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/12 Program. □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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OAFP 2
Title □Dr. □Mr. □Mrs. □Ms.
First Name Family Name
Name on Badge
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in
official excursion, and are advised to carry his/her own travel insurance before departure from
the country of origin.
Participants who choose to participate in official excursion but do not wish to provide
following information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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OAFP 2 Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
E7 North Coast Scenic Wonders 120
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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Tour Code Name of Tour Capacity
(Participant) Preference
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
OAFP 2 ACCOMPANYING FAMILY PERSONS’ TOURS (AFP Programs) Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Preference
November 10, 2019
AFP1 Taiwanese Cooking Classroom
AFP2 Pineapple Shortcakes—Learn to Make Them!
AFP3 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/10 Program. □
November 12, 2019
AFP4 Experience the beauty of Hakka Indigo
AFP5 Taiwanese Tea Art Appreciation
AFP6 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/12 Program. □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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OAFP 3 Child (7-12 years old)
Title □Mr. □Ms.
First Name Family Name
Name on Badge
Emergency Contact Name
Emergency Contact Number
Dietary Restriction: □No □Vegetarian □No pork □No Beef
The following information will be used solely for the official excursion insurance coverage.
Participants are advised to provide following information if you choose to participate in
official excursion, and are advised to carry his/her own travel insurance before departure from
the country of origin.
Participants who choose to participate in official excursion but do not wish to provide
following information, please tick the box as appropriate.
□ I do not wish to provide my gender, passport no., date of birth, nationality, and
agree to join official excursion without the official excursion insurance coverage.
Gender □Male □Female
Passport No
Date of Birth Nationality
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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OAFP 3 Excursion Day Program – November 11, 2019 Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Capacity
(Participant) Preference
E1-A
Historical and Cultural Visit (1)
National Palace Museum → The Grand Hotel
(國立故宮博物院 → 圓山大飯店)
140
E1-B
Historical and Cultural Visit (1)
The Grand Hotel → National Palace Museum
(圓山大飯店 → 國立故宮博物院)
140
E2
Historical and Cultural Visit (2)
Historical sites in Tamsui and the legendary dance
troupe Cloud Gate (淡水古蹟、雲門劇場)
300
E3 Fly Over Taiwan 80
E4 Taiwan High-Tech Visit 72
E5-A
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(金車酒廠 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E5-B
Yilan (宜蘭) Day Trip (1)
Distillery and National Center for Traditional Arts
(傳統藝術中心 → 金車酒廠)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
70
E6
Yilan (宜蘭) Day Trip (2)
Lanyang Museum and National Center for
Traditional Arts (蘭陽博物館 → 傳統藝術中心)
Optional activity preference:
□ Boat Ride □ Puppetry
□ Spinning Top □ None of the above
105
E7 North Coast Scenic Wonders 120
E8 Hiking in Yangmingshan National Park
(陽明山國家公園) 120
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
32
Tour Code Name of Tour Capacity
(Participant) Preference
E9 On Your Bike! Cycle Tour of Taipei 140
E10
Golf Tournament (surcharge USD100)
Please fill the blank below with numbers for
pairing reference.
Handicap / _______ (example: 18, 19 , 20...etc)
144
I will not participate in Official Excursions □
OAFP 3 ACCOMPANYING FAMILY PERSONS’ TOURS (AFP Programs) Please select your preferred tour and indicate your 1st, 2nd & 3rd preferences (1,2 &3)
Tour Code Name of Tour Preference
November 10, 2019
AFP1 Taiwanese Cooking Classroom
AFP2 Pineapple Shortcakes—Learn to Make Them!
AFP3 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/10 Program. □
November 12, 2019
AFP4 Experience the beauty of Hakka Indigo
AFP5 Taiwanese Tea Art Appreciation
AFP6 Ultimate Taipei Sightseeing Tour
No, my AFPs will not participate in 11/12 Program. □
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
33
GOLF EXCURSION – RENTAL OF CLUBS
A limited number of golf clubs are available for hire (surcharge USD65). It is recommended that you carry
your own.
□ No, I will carry my own clubs.
NAME RIGHT-HANDED
CLUBS
LEFT-HANDED
CLUB
SECTION 4 – PAYMENT SUMMARY
Category Early bird Regular Fee Amount
Observer
OAFP 1
OAFP 2
OAFP 3 Child (7-12 years)
Rental of Golf Clubs
TOTAL
Payment
Methods of payment: □ Wire/ Bank Transfer □ Online Credit card
Registration will only be processed and confirmed when full payment is made
Payment can be made on line by credit card – MasterCard/ VISA/ JCB
Payments for offline registrations can be made by bank transfer. If you are remitting the fees via bank
transfer, please add USD50 to the total amount to cover administrative charges. All payment should be
made in full amount. All bank charges for remittance by bank transfer will be borne by participants.
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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Please write to the Conference Secretariat at [email protected] to receive the online link or the
bank transfer details to make the payment with a scanned copy of this form filled with selection.
CANCELLATION & REFUND POLICY
To cancel your registration, a written request for a refund must be received at
[email protected]. No oral cancellation will be entertained.
The refund policy is as follows:
On and before August 8, 2019:80% of the registration fee (Golf fee:Full refund)
Between August 9 and September 9, 2019:50% of the registration fee (Golf fee:Full refund)
On and after September 10, 2019:No refund (Golf fee:No refund)
□ I have read and accepted the terms applicable for the 70th Council Meeting of the Asian Patent
Attorney Association
APAA Observer’s signature _________________________________ Date _____________________________
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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Hotel Reservation Form
Please read the accommodation and official hotels information on the website www.apaa2019.com carefully
before booking.
Online hotel booking is available on the website at www.apaa2019.com from May 9, 2019. We
recommend that you register online.
Offline booking can be made by filling the form below and sending to the Conference Secretariat by
email ([email protected]) or by fax (+886 2 8789 3603).
1. Contact Details
Please check □Member □AOP □Observer
Member / AOP / Observer ID No.
First Name Family Name
Firm / Organization
Address
City State Zip Code Country
Tel + Area Code Mobile
2. Flight Schedule
Arrival Flight No. Date Time
Departure Flight No. Date Time
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
36
2. Hotel Details
Name of Hotels Room Type Single
Occupancy
Double
Occupancy
5 Star
Grand Hyatt Taipei
King Bed NTD7,854 NTD8,663
Twin Bed NTD7,854 NTD8,663
King Bed Deluxe NTD8,547 NTD9,356
Twin Deluxe NTD8,547 NTD9,356
King Bed with view NTD8,894 NTD9,702
King Bed Premium NTD9,587 NTD10,395
King Bed Club Deluxe NTD10,395 NTD12,590
Le Méridien Taipei King Bed Deluxe NTD10,418 NTD12,070
Humble House
Taipei
King Bed Deluxe NTD8,639 NTD9,910
King Bed Premier NTD9,910 NTD11,180
4 Star
Home Hotel King Bed NTD5,100 NTD5,100
Twin Beds NTD5,100 NTD5,100
The special rates are offered to the conference participants only. The reservation will be confirmed only
when you complete the booking process. Hotel reservation will be made on a first-come, first-served basis.
The prices already include VAT government tax and service charge (about 15.5%).
Room1
Hotel Name: _____________________________________________________________________________
Room Type:____________________________________ □ Single Occupancy □ Double Occupancy
Check-in date: ______________________________ Check-out date:________________________________
No. of Person: ___________________ Accompanying person name: ________________________________
Total no. of nights: ________________________________________________________________________
Total amount [Per night rate X no. of room nights]: ______________________________________________
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
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Room2 (if needed)
Room Type:____________________________________ □ Single Occupancy □ Double Occupancy
Check-in date: ______________________________ Check-out date:________________________________
No. of Person: ___________________ Accompanying person name: ________________________________
Total no. of nights: ________________________________________________________________________
Total amount [Per night rate X no. of room nights]: ______________________________________________
Payment
Total amount [Room1 + Room2]: _____________________________________________________________
Methods of payment: □ Wire/ Bank Transfer □ Online Credit card
Payment can be made on line by credit card – MasterCard/ VISA/ JCB
Offline payments can be made by bank transfer. If you are remitting the fees via bank transfer, please
add USD50 to the total amount to cover administrative charges. All payment should be made in full
amount. All bank charges for remittance by bank transfer will be borne by participants.
Please write to the Conference Secretariat at [email protected] to receive the online link or
the bank transfer details to make the payment with a scanned copy of this form filled with selection.
70th Council Meeting of the Asian Patent Attorneys Association November 9-12, 2019 – Taipei, Taiwan
38
3. Terms and Cancellation Policy
Booking will be considered confirmed after the Conference Secretariat acknowledges the receipt of the
booking form and payment.
Participants are to ensure that their passport, travel documents and visas are valid for travel.
If you cancel on and before June 30, 2019, the entire booking will be refunded after deducting bank
transaction charges and applicable taxes.
If you cancel on or after July 1, 2019 but on or before July 31, 2019, 20% of the entire room fees will be
charged and the rest of your payment will be refunded.
If you cancel on or after August 1, 2019 but on or before August 31, 2019, 50% of the entire room fees
will be charged and the rest of your payment will be refunded.
No refund will be made for cancellation received on or after September 1, 2019. The whole room fee
will be forfeited.
The refund will be made in the same manner as you made payment.
All refunds will be made post closure of the Council Meeting.
All cut-off dates are based on Taiwan time (GMT+8).