Group Dinner Registration  晚餐报名表
Restaurant: 唐宫 Tang Gong
Time: 6:30 pm Pacific Time, February 29, 2020, Saturday
Address: 111 N. Atlantic Blvd, 3F, Monterey Park, CA 91754
Tel: 213-458-2626
 
Attention:
  1) No cost for CAPA lifetime members and active regular members. $50 for other attendees
  2) Transportation: CAPA will arrange bus transportation.
  3) Payment Options:
      a) Online payment through Paypal (below this form).  All major credit cards work with Paypal.
      b) Onsite payment by personal check or cash.

We need a headcount before Feb. 16, 2020. Please make a reservation for the group dinner as soon as you can. Thank you and looking forward to meeting you there!

CAPA Contact: Dr. Xin Han at "xinhan05@gmail.com".

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Имейл адрес *
Last Name *
First Name: *
Affiliation (Institution) *
Phone number *
CAPA Membership Status *
Will you bring any guests? How many? *
Dinner cost for guests is $50 per person.
Total Cost (in US dollars): *
Paypal Payment Info: such as Confirmation number (preferred), payer's name, account email address (It is highly recommended to submit Paypal payment info here, for validation purpose)
Since this form can be edited after submission, you can submit Paypal confirmation number either before or after your submission. For those choose to pay with a check, skip this question.
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