Company Name

Language

Tel

fax

E-mail

Address

Name

Gender

 Position

   Mobile

       ID Number

Common Seat

5000RMB/ per person(including participating, material, common seat, and food fares, but no accommodation)

VIP seat

9000RMB/ per person(including participating, material fees, VIP seat, and food and one-year membership fares, but no accommodation )

2015 the 4^th China Africa Industrial Forum Organizing Committee

Designated Account,

Account Name: Beijing Zhong Liu International Cultural Media Co., Ltd.

(户名：北京中流国际文化传媒有限公司)

Bank Branch: Ba Li Zhuang Branch in Beijing ,Industrial and Commercial Bank of China

(户行：中国工商银行北京八里庄支行)

Account Number: 0200212419200010194

 Please fill out this application form and send it to us before 10^th Oct.2015 due to the limited seats.

Note :

1、Lunch on the 9th Nov. and closing ceremony dinner are included.