A. Participant

Title Mr. Ms. Prof. Dr. Others
Name
First Name (Given Name) Hyun jung
Middle Initial -
Last Name (Family Name) lee
Affiliation
Department/Division service planning department
Organization Nuri media
Position/Job Title  
Address Daeheung-dong ,Mapo-gu, Seoul, Korea
City
seoul State/Province -
Postal Code
121-080 Country Korea (South)
Tel +82-31-241-6885
Fax +82-31-242-9280
Mobile Phone 011-1234-1234
E-mail nurimedia@nurimedia.co.kr
Password
1234 Password Confirm 1234

B. Accompanying Persons

First Name Last Name

C. Registration Fee

Participant
Category Early
(by Sep. 11, 2008)
Late (Sep. 12 to Nov. 30, 2008)
or On-site
Farewell Party - Dec. 12
(50,000 KRW)
Regular 150,000 KRW 170,000 KRW
Student* 75,000 KRW 85,000 KRW
Sub-total (A) KRW
* Should provide valid proof of current student status (e.g. a photocopy of student ID card or a signed letter from advisor).
Accompanying Persons*
Name Early
(by Sep. 11, 2008)
Late (Sep. 12 to Nov. 30, 2008)
or On-site
Farewell Party - Dec. 12
(50,000 KRW)
60,000 KRW 70,000 KRW
60,000 KRW 70,000 KRW
60,000 KRW 70,000 KRW
Sub-total (B) KRW
* Only spouse and/or family members are qualifed as accompanying person.

D. Social Program
The following Social Program is included in your registration fee.
Please indicate your intention to attend.

Welcome Reception Yes No Accompanying with
Accompanying with
Accompanying with
Spouse Tour Yes No Accompanying with
Accompanying with
Accompanying with