Ivey Business School Asia Case Workshop Registration Form

Case Teaching and Writing Workshops (Online Sessions) Registration Form

Module Selection

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

Case Teaching Workshop Only: August 2-3(am), 2021 (1 and half-day Module**); Fee: USD 750

Case Writing Workshop Only: August 9-10(am), 2021 (1 and half-day Module**); Fee: USD 750

Case Teaching and Writing Workshop; August 2-3(am) & 9-10(am), 2021 (Two 1 and half-day Module**); Fee: USD 1,500

*The fee listed above covers all workshop materials, administrative and reproduction services.

**Case Workshop Time: Day 1 9:00am-17:00pm, Day 2 9:00am-12:30pm, GMT+8 (Hong Kong)

Discounts:

Discount for 3 or more registrations from the same organization

Participant Information

Preferred Name:

Email Address:

Contact Number:

Job Title:

Organization:

Mailing Address

Address	City
Province / State	Postal Code / Zip Code
Country

Payment Information

All workshop fees must be received in advance prior to commencement of the workshop(s). Upon confirmation of payment, participants will receive access details to the online workshop(s). All payment must be made in US dollars or Hong Kong dollars (US$1 = HK$7.8)

Payment Type

By Cheque

Payable to "Ivey Business School Asia Limited". Please indicate your name and your selected module on the back of the cheque and mail to our administrative office:

Ivey Business School
Hong Kong Convention and Exhibition Centre, Phase 1,
S320A, Harbour Road, Wanchai, Hong Kong

By Bank Transfer (Local or Overseas)
Please indicate your name and your selected module on the remark section of your remittance. All bank charged shall be paid by the sender. Once payment is arranged, please provide a scanned copy of the payment proof to cases@ivey.com.hk

Bank Name: Bank of China (Hong Kong) Limited Bank
Address: Bank of China Tower, 1 Garden Road, Hong Kong
SWIFT Code: BKCHHKHHXXX

Account Number: 012-875-9-267931-5

Beneficiary Name: Ivey Business School Asia Limited

Beneficiary Address: Room S320A, Level 4, 1 Harbour Road, Wanchai, Hong Kong

By Credit Card

AE/VISA/MASTER card only, 3.25% administration fee is applicable. A credit card authorization form will be provided once the registration form is received.

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 +852-2135-2277 or cases@ivey.com.hk if you need any assistance.