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2017 Seoul Food and Hotel Catalogue Component to Chamber Trip

May 16-19, 2017

PARTICIPATION INFORMATION & COMPANY PROFILE

1. INFORMATION

First Name: ______________ Last Name: ______________ Gender: Male/ Female

Company Name: ___________________________________ Title: _______________________________________


Company Logo (Please attached your company Logo picture in the email)
Address: _______________________________________________________________________________________________
City: _________________________________________ State: _________ Zip Code: ___________
E-Mail: _______________________________________ Website: ____________________________________________
Work Phone: __________________________________ Mobile Phone: _______________________________________
Company Services/Products Description (150 words):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Do you need to translate your marketing flyer material into Korean (up to one page): Yes
No
If yes, please provide the marketing flyer to us no later than April 30, 2017.
2. PAYMENT INFORMATION
Credit/Debit Card Type:
American Express Visa
MasterCard Discover
Credit Card Number: ______________________________Expiration
Date: _____________
(Month, Year)

Security Code: ______________ Total Amount Charged: $350


USD
Billing Address (as provided to issuing bank):
_________________________________________
City: ______________________ State: ________
Zip Code: ____________
Card Holder Name: _______________ Phone: _______________Email:
_________________________
By signing this form, cardholder acknowledges receipt of
services described above for the total amount shown and
agrees to perform the obligations set forth in the
Cardholders agreement with the issuer.

Cardholders Signature: __________________________________
Date: ________________

*Please send this form back to Henan Li
Email:hli@calasiancc.org
FOR OFFICE USE ONLY:
Date received: ____________________________ Approved by:
_______________________________