| ＊Salutation： |
Mr.
Ms.
Mrs.
Prof.
Dr.
Others
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| ＊Name： |
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| Name on Badge： |
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| ＊Company/Organization： |
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| ＊Department： |
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| ＊Mailing Address： |
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| ＊City： |
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| ＊Country： |
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| Zip/Postal Code： |
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| ＊E-mail： |
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| Receipt Title： |
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| Dietary： |
Non-vegetarian
Vegetarian |
| Paper ID： |
#1
#2
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International Track, Special Session, and Workshop
Domestic Track
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| ＊Member ID： |
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Additional Fee
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No. of Additional Page (NT$1,500/Page)：
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No. of Extra Conference Banquet Ticket(NT$1,500/Ticket)：
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No. of Extra Tutorial Ticket(NT$500/Ticket)：
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