<p> Community Business is a unique charity in Hong Kong whose mission is to lead, inspire and support businesses to continuously improve their positive impact on people and communities COMMUNITY BUSINESS EVENT REGISTRATION FORM Event Name: Hong Kong Launch of “Towards Disability Confidence: A Resource Guide for Employers in Hong Kong and Singapore.” Date: Thursday, 26 May 2011 Time: Presentation – 2:00pm to 6:00pm Venue: American Express International, Inc. 18/F Cityplaza 4, 12 Taikoo Wan Road Taikoo Shing, Hong Kong. Please fill in this form for each participant. If you have difficulty completing this form you can register by email, or telephone. Contact details are given at the bottom of this document.</p><p>Registration Form: Please tick the relevant box below: Community Business Member </p><p>DIAN Member</p><p>Non Member </p><p>NGO / Academic </p><p>Participant Details</p><p>Title (Mr, Ms, Miss, etc.) Family Name First Name</p><p>Continued on next page….</p><p>Send your completed form/s to Community Business, at: 2102 Hing Lung Commercial Building, 68 Bonham Strand Sheung Wan, Hong Kong Or by Fax to: +852 2540 9520 Or attached to an email to: [email protected] Community Business is a unique charity in Hong Kong whose mission is to lead, inspire and support businesses to continuously improve their positive impact on people and communities</p><p>Title or position Company/ Organisation Name Address 1 Address 2 Address 3 Address 4 Phone number Fax number Email address</p><p>Please note any specific (access requirements, dietary needs, sign language interpretation, requirements: information in an alternative format or disabled parking) We will do our best to meet your needs. Alternatively phone or email requirements separately. Contact Anky Chau as described below: Conditions:</p><p>Community Business will confirm receipt of all registration forms via email. If you are unable to attend, we encourage you to nominate a substitute delegate in your place. Please inform us of the new delegate name at least 2 days prior to the event. Community Business reserves the right to change the programme, speakers and/or venue without prior notice.</p><p>More Information</p><p>If you have difficulty completing this form you can register by email, or telephone, or for general enquiries please contact:</p><p>Anky Chau: Email: [email protected] Telephone: +852 2152 1889</p><p>Send your completed form/s to Community Business, at: 2102 Hing Lung Commercial Building, 68 Bonham Strand Sheung Wan, Hong Kong Or by Fax to: +852 2540 9520 Or attached to an email to: [email protected]</p>