Hong Kong Architecture Centre Studio Visiting Tour SVT

Hong Kong Architecture Centre Guangzhou tour Application Form

Please fill in all fields: information gathered is strictly for internal use. A. Personal Details Fill Name (English): ______Name (Chinese): ______HKID Number: ______Gender: (Male / Female)* Date of Birth: ______Email: ______Occupation: ______Address: ______Telephone (Home): ______Telephone (Mobile): ______

B. Tour Particulars

HKAC Guangzhou tour 2010 Major visit locations: 1) Guangzhou Opera House – designed by Zaha Hadid Architects 2) Guangdong Museum – designed by Rocco Design Architects Date: 6th Nov 2010 ( Sat ) Time: 8:00am – 7:00pm Meeting point for visit: 7:45 am Hong Kong Hung Hum Coliseum Green zone car- parking area Fee of visit: HKD 800 per person No. of places: max. 15 for HKIA members Remarks: NO lunch arrangement for the visit / Transportation only covers ONE way from Hong Kong to Guangzhou Registration: Please email the completed form to [email protected] ( attn: Mr. Philip Fung) Registration deadline: 1st Nov 2010 6pm Contact person: Mr. Philip Fung ( tel: 28057146 )

C. PAYMENT OPTIONS: (Please tick one of the boxes below) ﹝﹞ 1. Cheque – Please make cheques payable to HONG KONG ARCHITECTURE CENTRE LIMITED Cheque payments can be sent to Hong Kong Architecture Centre Limited, P .O. Box 4143, General Post Office, Hong Kong (Attn: Mr Philip Fung) ﹝﹞ 2. EPS – Payments can be made at our Peel Street Gallery, G/F 8 Peel Street, Central ﹝﹞ 3. Cash – Cash payments can be made at our Peel Street Gallery, G/F 8 Peel Street, Central ﹝﹞ 4. Bank Transfer – Payments can be made through transferring your payment to our HSBC account: 400-322566-001 and send the receipt back by email or fax (please state your name and program applied in your fax)

D. DECLARATION Upon signing of this form, I (print name) ______have read, understood and will abide by the rules stated on the attached “Rules of Tours”. I hereby declare that the information given above is true and correct.

Signed: ______Date: ______