Name of Member
□Dr. □Mr. □Mrs. □Ms. (English) ___________________ (Chinese) _______________________
Specialty:
______________ School/Year of Graduation: ______________________□ Class Reunion
Address: _____________________________________
Email: _____________________________
Phone: ___________________ Cell Phone:___________________ (required for airport shuttle service)
Flight info: ____________________________________________(Arrival Airline/Flight #/Date/Time)
____________________________________________(Departure Airline/Flight
#/Date/Time)
Accompanying Spouse (Non-member)
or Guest(s). For member-spouse, use top for full info.
□Dr. □Mr. □ Mrs. □Ms. (English)
___________________ (Chinese) ______________________
□Dr. □Mr. □ Mrs. □Ms. (English)
___________________ (Chinese) ______________________
Registration
Fees ( Member in
training or graduate student, resident, fellow, discount 50%)
|
Registration
time schedule
|
Unit
Charge
|
#
of Persons
|
Subtotal
|
|
Early
Bird (Registration Fee)
|
$50
|
X
|
$
|
|
After Aug 25, 2010 by Postmark
|
$70
|
X
|
$
|
|
Dining Options (Member/Guests) □ Vegetarian
X ______ (Meal plan detailed on Info. page )
|
|
Meal Plan A
|
$200
|
X
|
$
|
|
Meal Plan B
|
$170
|
X
|
$
|
|
Meal Plan C
|
$120
|
X
|
$
|
|
Tours and
Activities
|
|
□
Golf Outing 9/17
|
$80
-100 ***
|
X
|
Pay
at G C
|
|
□
St Louis City Half-Day Tour
9/19 (noon-5pm)
|
$45
(with Arch Tram)
$35
( No Arch Tram)
|
X
X
|
$
|
|
□
Bento Lunch Box 9/19
(Required if attend city tour)
|
$10
|
X
|
$
|
|
Subtotal
|
$
|
|
Donation (A
letter to acknowledge your contribution will be sent to you.)
|
$
|
|
Total (Payable
to NATMA,
mail to ShuIe
Chang, 311 Sunway Lane, St Louis, MO 63141)
|
$
|
2010
NATMA 26th Annual Convention Registration Information:
Date:
09/17/2010 – 09/19/2010
Convention
Site and Hotel:
Please
make your reservation before Aug 16, 2010.
And mention NATMA for the special rate.
St. Louis
Marriott West Hotel
(Group rate $72 plus tax per night)
660
Maryville Centre Drive, St. Louis, Missouri 63141 USA
Phone: 1-314-878-2747 Toll-Free: 1-800-352-1175
Self- Parking
is Complimentary.
Airport Shuttle
Service:
Complimentary PICKUP BY SHUTTLE
BUS from and to the AIRPORT is provided.
Please make sure to provide your ARRIVAL/DEPARTURE FLIGHT INFORMATION and CELL PHONE NUMBER on the
registration form for the pickup.
(Registration group contact: Kai-Chien Yang 314-766-6657)
Meal Plan:
( A, B, C )
|
Meal Plan
|
A
|
B
|
C
|
|
Lunch 9/17
|
$30
|
|
|
|
Reception Dinner 9/17
|
$50
|
$50
|
|
|
Working Lunch
Buffet 9/18
|
$40
|
$40
|
$40
|
|
Dinner Banquet 9/18
|
$80
|
$80
|
$80
|
Mail in
Registration:
Mail in your check (payable to NATMA) and registration form to:
ShuIe
Chang, 311 Sunway Lane, St Louis, MO 63141 (Registration Deadline Sep 2, 2010)
Refund/Cancellation
Policy:
Cancellation request
should be in writing and postmarked by Sep 9,
2010 to avoid a 10% charge.
St
Louis City Half-Day Tour: will cancel if fewer than 30 people attend
*** Golf Outing: Please contact
Dr. T.Z. Chen
314-878-6188 for reservation
and transportation
