CLTA-NYG Conference Registration

Please fill in the following form. Please write your surname first and then given name in English at Name box.
Name: 


A red asterisk (*) indicates required questions.

  1. 中文名字/Name in Chinese (if any):


  1. 电话/Phone:*


  1. 电子邮箱/Email:*


  1. 职业/Job Title: 


  1. 单位/Affiliation:


  1. 家庭住址/Home Address:


  1. Have you paid the conference fee yet? If not, please click here to pay for conference registration fee ($20).

    你是怎么付款的/How did you pay:  


  1. 是否是会员/Membership Status:
    Yes
    No


  1. 你是否被接受在会上发言? Have you been accepted to present at the conference?
    Yes
    No