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Workshop for Asian-Pacific Teachers of English
Workshop Registration Form

1) Online Registration

Please fill out this form and click the submit button for online registration or

2) Registration by Mail

Please fill out, print, and return this form along with payment to

The Center for Asia-Pacific Exchange,
P.O. Box 23397,
Honolulu, Hawaii 96823-3397, U.S.A.



3) Payment Information

Funds may be paid to CAPE in U.S. Dollars by any of the following methods: cashier's check, international money order, international postal money order, wire transfer, or credit card. For information on payment by wire transfer, please contact CAPE (cape@cape.edu).

The completed registration form and the $500.00 tuition & registration fee should be sent to the Center no later than June 20, 2015. For more information on Tuition/Registration fees for participants, click here. Tuition will be fully refundable if cancelled before July 1, 2015.

For information and assistance, please do not hesitate to contact the Center. (Tel 808-942-8553 or cape@cape.edu)

 
  REGISTRATION FORM
  Personal Information (Required fields are marked by *)
   Prefix:
Mr. Mrs. Ms. Miss Dr.
   Gender:
Male
Female
   Name (Last, First, Middle)*:
   Email*:
   Home Address*:
(Please include postal code)
   Home Phone Number:
   (Please include area code
   and country code.)

   Status*:
CAPE Alumni   
Other (first time participant)
   Program Year (Alumni ONLY):
   Program Name (Alumni ONLY):
   Present Position &
   Business Address:
   Business Phone Number:
   (Please include area code
   and country code.)
   Send Correspondence to:
Home Address
Business Address
  Hotel Reservation
   Check-in Date:
MM/DD/YY
   Check-out Date:
MM/DD/YY
   Pagoda Hotel
   (per person per night):
Double Occupancy
Single Occupancy
   I/We will make individual arrangements other than Pagoda.
   Name of Hotel:
  Payment Method  
  • Funds may be paid to CAPE in U.S. dollars by any of the following methods:
    credit card, wire transfer, international money order, cashier's check, or international postal money order.
  •   
  • Credit Card -- by PHONE only
  • Call Collect!
  • -- to provide CAPE with your credit card information at
    +1-808-941-9575
    Preferred time to call: 8:00am - 12:00 noon (Hawaii Time)
  • Wire Transfer:
  • We will provide you with the following information only when you ask us for wire transfer information
    --Bank name/Bank Address/Account number/Routing Number/Recipient
  • International Money Order/Cashier's Check or Postal Money Order
  • Payable to: The Center for Asia Pacific Exchange
    Send to: The Center for Asia Pacific Exchange, P.O. Box 23397, Honolulu, Hawaii 96823-3397

    Note: Before sending your registration form, please make sure that all information are entered correctly. If you are ready, click on the submit button now.

    Reminder: You may also choose to print out the completed form and mail your registration to us at: The Center for Asia-Pacific Exchange, P.O. Box 23397, Honolulu, HI 96823, U.S.A.