Member IARU Society :

Participant : Delegate Observer Guest Partner (Delegate and Observer refer to those who are appointed by an R3 member Society) (Guest refers to one who is invited by R3) (Partner refers to one who is accompanying those above)

Callsign (if licensed) :

Title : Mr. Mrs. Ms. Dr. Other (specify)

First Name(s) :

Surname :

Handle Name :

Contact Details

Street Address :

Suburb :

Town/City :

Province / State :

Zip / Post Code :

Country :

Home Phone :

Work Phone :

E-mail :

Position in Society (if a delegate) :

Travel Details

Expected Arrival Date in Taipei: DD MM 2004

Time of Arrival (local time) :

Airline :

Flight No.

Expected Departure Date from Taipei :DD MM 2004

Time of Departure :

Airline :

Flight No.

Form 2 - accommodation details

Which hotel do you wish to stay in?

Howard International House (the conference hotel)

I will make my own arrangements for accommodation.
(Please note that there is a charge of $80US if you are not staying at the conference hotel. Please pay this charge at the conference registration counter.)

The room rates are as follows:
Howard International House
Standard Single 2000NT$ per night
Standard Twin 2800NT$ per night
Deluxe Twin 3600NT$ per night
10% tax will be added to these charges

If you chose to stay at thehotel, please complete the following:

Full Name (Title, First, Middle and Surname):
Date of birth :	DD MM YYYY
Nationality :	Passport No. :
Sex : Male Female
Date of arrival :	DD MM 2004
Date of departure :	DD MM 2004
Duration of stay (number of nights)
Room type required :
If a twin room, name of person to share with :
	Non-Smoking Smoking

If you specified that you are making your own accommodation arrangements, please provide contact details for this accommodation:

Contact name :
Street Address :
Suburb :
Town/City :
County :
Telephone :

Form 3 - tentative callsign license application.
(Please complete this form if you wish to apply for a tentative callsign license. Copies of your passport and current amateur radio license should be sent by post or fax to: P.O.Box 1039, Changhua 500, Taiwan, R.O.C.
Fax:+886-4-7385441.)

Country of current license :
Home callsign : Previous callsigns :
Class of license :
Valid til : DD MM YYYY
Duration of transient :
From : DD MM YYYY
Until : DD MM YYYY
QSL Info : Via :

If you have any further comments, please provide them below before submitting the form. Please make sure you have fully completed all the sections that are required and that you have provided correct contact information. Thank you.