Hong Kong Case Workshop Registration Form

Ivey Case Teaching Taster Workshop and Forum Registration Form

Module Selection

Please select the module below to which you would like to apply:

Case Teaching Taster Workshop (November 9th, 2018, Fee: HKD 1,200)Forum (November 10th, 2018, Free) Both (November 9th-10th, 2018, Fee: HKD 1,200)

Participant Information

All information collected will be kept confidential.

Please input all the details in English.

Salutation:

Mr.Mrs.Ms.Dr.Prof.

First Name:

Last/Family Name:

Preferred Name:

Email Address:

Contact Number:

Job Title:

Organization:

Do you require an invitation letter?

YesNo

Mailing Address

Address	City
Province / State	Postal Code / Zip Code
Country

Payment Information

Participant fees must be submitted prior to commencement. Payment shall be made in Hong Kong dollars.

Payment Type

By Credit Card By Cheque By Bank Transfer (Local or Overseas)

Yes, an invoice is required.

Invoice Information

1. Invoicee Name:

2. Invoicee Title:

3. Invoicee Company Name (if any):

4. Invoicee Address:

5. Invoicee / Account Department Contact Number:

Terms of Enrolment

Cancellation and administration fees apply to program withdrawal and rescheduling. Please contact Ivey at cases@ivey.com.hk for details.

Applicant Declaration

I hereby certify that the above information is a true record of my personal information, and that I have provided all the required information. My signature on this application represents my agreement to enroll in the indicated program and other terms above.

Applicant Signature (type your name):

Date:

Please contact us at +852-2135-2222, +86-152-1795-9835, or cases@ivey.com.hk if you need any assistance.

reCAPTCHA helps prevent automated form spam.

The submit button will be disabled until you complete the CAPTCHA.

Contact Information