2019 TAC-WC Registration Form – Taiwanese American Conference – West Coast 美國西部台美人夏令會

Please Enter Participant Information 請詳細填入參加者資料

Participant Info 參加人員資料
Enter the correct answer to make sure you are not a robot	2 + 3 = ? 填入正確答案。確定您不是機器人
First Name	英文名字
Last Name	英文姓
Tawanese Name	中文名字
Address	地址
City	城市
State	州
Country	國家
Zip Code	郵遞區號
Phone	電話號碼
Email	電子信箱
Mailing List	要收到我們的電子郵件通知嗎
Gender	性別
Age	年齡
Total Conference Attendees - Exlud. Students	參加會議總人數。（學生除外）每人$35
No Of Student In Group	參加會議學生人數。每人$15
Baby Sitting Required	會中需要托幼人數
Participant Group Member Info 同行人員資料
Additional Member1 First Name	同行人員1英文名
Additional Member1 Last Name	同行人員1英文姓
Additional Member1 Taiwanese Name	同行人員1中文名
Additional Member1 Gender	同行人員1性別
Additional Member1 Age	同行人員1年齡
Additional Member2 First Name	同行人員2英文名
Additional Member2 Last Name	同行人員2英文姓
Additional Member2 Taiwanese Name	同行人員2中文名
Additional Member2 Gender	同行人員2性別
Additional Member2 Age	同行人員2年齡
Additional Member3 First Name	同行人員3英文名
Additional Member3 Last Name	同行人員3英文姓
Additional Member3 Taiwanese Name	同行人員3中文名
Additional Member3 Gender	同行人員3性別
Additional Member3 Age	同行人員3年齡
Meal Selection 餐點選擇
Jul-19 Dinner Selection - Chicken	7-19 晚餐雞肉人數每人$35, 學生$20
Jul-19 Dinner Selection - Beef	7-19 晚餐牛肉人數每人$35, 學生$20
Jul-19 Dinner Selection - Fish	7-19 晚餐魚排人數每人$35, 學生$20
Jul-19 Dinner Selection - Vegetarian	7-19 晚餐素菜人數每人$35, 學生$20
Jul-20 Dinner Selection - Chicken	7-20 晚餐雞肉人數每人$55（中餐$20, 晚餐$35）, 學生$35 （中餐$15, 晚餐$20）
Jul-20 Dinner Selection - Beef	7-20 晚餐牛肉人數每人$55（中餐$20, 晚餐$35）, 學生$35 （中餐$15, 晚餐$20）
Jul-20 Dinner Selection - Fish	7-20 晚餐魚排人數每人$55（中餐$20, 晚餐$35）, 學生$35 （中餐$15, 晚餐$20）
Jul-20 Dinner Selection - Vegetarian	7-20 晚餐素菜人數每人$55（中餐$20, 晚餐$35）, 學生$35 （中餐$15, 晚餐$20）
Jul-21 Bendo and Drink - for Tour Participants Only	7-21 中餐便當飲料每人$15 限參加旅行者
Your Kind Donation	所有價錢都低於成本價。您的熱心捐款
Tour Selection 會後旅遊選擇
Total Tour Attendees	參加會後旅遊人數
Post Conference Tour	會後旅遊地點
Fees 費用
Comment	特別註記
Total Amount Due - Conference plus Meals	應付金額 - 合計參加會議及餐點費用
Disclaimer	By submitting this form, I agree to assume all responsibilities for any injury and damages incurred to my family (names listed above) and myself from TAC-WC-related activities for the period of 7/19 to 7/25, 2019, and make no claims against TAC-WC or officers serving the organization

By submitting this online registration form, I agree to assume all responsibilities for any injury and damages incurred to my family (names listed
above) and myself from TAC-WC-related activities for the period of 7/19 to 7/25, 2019, and make no claims against TAC-WC or officers serving the organization.

Taiwanese American Conference 美國西部台美人夏令會

Please Enter Participant Information 請詳細填入參加者資料

Total Amount Reference Table / 應付費用參照表

Taiwanese American Conference 美國西部台美人夏令會

Please Enter Participant Information 請詳細填入參加者資料

Participant Info

Participant Group Member Info

Meal Selection

Tour Selection

Fees

Total Amount Reference Table / 應付費用參照表