The 10th WACCM Leadership Training Conference, Perth
第十屆世華聖樂領袖密集課程，珀斯

ENROLMENT FORM 報名表格

Deadline for application: May 1, 2019    截止報名日期：二零一九年五月一日

Please provide us with as much detail as possible to assist our LTC Registration Team with the processing of your registration submission.
請盡可能向我們提供所有資料，以協助註冊團隊處理您的登記。

English Surname 英文姓氏：

 *

English Given Names 英文名稱：

 *

Chinese Name 中文姓名：

  

Gender 性別：

       

Age 年齡：

           

E-mail Address 電子郵箱：

 *

Other Contacts 其他通訊：

  
 
 

Nationality 國籍：

  

Phone No. 電話號碼：

 *

(Mobile 手機)

Church 所屬教會：

  

Serving Post 事奉崗位：
Please 'tick' 請 ✔
May choose more than one item 可選多項

 

     
Role 崗位：

   
   
   
   

   
         Please state instrument/s 樂器：
   
   
 

For overseas/interstate participants only 海外及澳洲東岸學員適用

Transportation 交通接送：
(Includes between airport and guest house, and guest house and conference venue 包括機場至旅館和旅館至大會場地)

My itinerary 我的行程
  Date 日期
(dd日/mm月/yyyy年) 		Time 時間
24-hour點
(HH點:MM分) 		Flight No.
航班號碼
 Perth Airport Terminal No.
珀斯客運大樓號碼
(T1/T2/T3/T4)
Arrival 抵達
Departure 離開

If you have not booked your flight yet, please email us the above details as soon as you have received the ticket. 若還沒有訂機票，待收到機票之後請儘快把以上資料電郵給我們。 (ltc@ccmawa.org)

Accommodation for overseas and interstate participants 海外和東岸參加者住宿安排：

Accommodation at 入住 Trinity on Hampden.
Please refer to the Conference Brochure for details 詳情請參看課程單張。

Please book accommodation at Trinity on Hampden for me for the following nights: (Please 'tick')
請為我預定以下日子的住宿：（請 ✔）

Please note that the Conference only requires staying three nights: June 27, 28 & 29. However, we can book the accommodation from June 25 to June 30 for those who would want to extend their stay. If participants wish to stay longer, they should let Trinity Guest Services know when they check in and enjoy the same discounted rate.
請注意：課程本身只須住宿六月二十七，二十八和二十九日三個晚上。我們也可以為那些希望多留一點時間的人預定六月二十五和三十日的住宿。若要再多留，請在入住時通知旅館，以享有同一的折扣優待。

If not staying in Trinity on Hampden, please write down the address of your stay
如另有住宿安排，請寫下住宿地址：
Fees 費用：(In Australian Dollars 以澳幣計算)
Course fees (includes lunch & dinner)
學費 (連午餐和晚餐)：$220/$200 (early bird 預早報名)
單日學費：$120 (one day)

You may still join the conference dinner and opening.
你仍可以參加開幕禮及其晚宴。
+$ 
I would like to share room with 我的室友為

(roommate’s name, $61 each, including breakfast 姓名，每人$61，包括早餐)
I would like to have 我要
Twin bed 兩張單人床      Double bed 一張雙人床
Please arrange a roommate for me. 請為我安排室友。
I do not want to share room. ($110 including breakfast)
我不要和其他人分享房間。($110，包括早餐)
+$ 

Nights Stay 夜天 
I come to attend the WACCM Committee meeting
我來開「世華」理事會
(WACCM Committee Members receive free accommodation for June 26.
「世華」理事免六月二十六日住宿費。)
-$ 
Non-locals transportation fees
非本地學員交通費：$50
+$ 
Overseas TT bank charges
海外匯款銀行收費：$10
+$ 
TOTAL 總共
=$ 
 

Electronic Funds Transfer Information 銀行轉帳資料
Account Name 戶口名稱：Chinese Christian Music Association of Western Australia
Bank Name 銀行：Bankwest     Branch 分行：Belmont
Address 地址：227 Belmont Ave., Cloverdale Western Australia 6105
SWIFT Code 銀行識別碼：BKWAAU6P
BSB: 306-055     Account No. 戶口號碼：1098912
Please write your name in the 'narration' box. 請將名字寫在備註欄內。

I have transferred the amount above to your account on
本人已在  (Date 日期). 把款項轉帳到貴會的戶口。
  (Please retain the receipt for auditing purpose. Enrolment date is the date of the bank transfer.)
（  請保留單據以作核對之用。註冊日期以銀行過戶日期為準。）

Enquiry or Remarks (use this to elaborate things or make special requests, if necessary)
查询或備註（如有需要，可用此欄來詳細說明或提出特別要求）：
 
* Please note that all fields marked with a red asterisk must be filled in.
  請注意：所有標記著紅色星號的欄目都必須填寫。
  If this form is submitted successfully, you will receive an email notification within two hours.
  要是表格提交成功，您會在兩個小時之內收到電郵通知。
If you encounter any technical difficulties in submitting this enrolment form, please e-mail websupport@ccmawa.org
如果您在提交此報名表時遇到任何技術困難，請電郵 websupport@ccmawa.org 聯絡我們。