BMI China T2 Agent Workshop – Application Form May 2020 Agency Application Form Thank you for registering for the BMI China T2 Agent Workshop 2019. Participation is free of charge for each approved agency; One night of complimentary hotel accommodation at the official hotel will be provided to all participants. Please complete the hotel accommodation section on this from if you would like to confim your free accomodation. PLEASE ANSWER THIS FORM IN ENGLISH. Agency InformationAgency Logo *Agency Name *Participating City *WuhanXi'anFirst ParticipantTitle *Mr.Mrs.Miss.Prof.Dr.Name and Last Name *Position *Email *Mobile *First Participant Photo *Second ParticipantTitle Mr.Mrs.Miss.Prof.Dr.Name and Last Name Position Email Mobile Second Participant Photo About Your AgencyDescription about your agency *This text will be printed in the Event Handbook and given to all participating international institutions. Please write a brief description about your agency, with a maximum of 200 words.Hotel Accomodation BMI will provide 1 night free accommodation per agency. Therefore, if your agency have registered 2 participants, please note you will be sharing a Twin or Double room (breakfast included). The check in and out dates for each city are as follows: WUHAN Check in: May 10th, 2020 Check out: May 11th, 2020 XI'AN Check in: May 13th, 2020 Check out: May 14th, 2020 Accommodation required *Not RequiredSingle (King size bed, 1 person)Double (King size bed, 2 people)Twin (2 single beds, 2 people)Credit Card InformationImportant BMI will provide 1 night free accommodation (breakfast included) to all participating agencies. However, a credit card is required by the hotel to cover any miscellaneous charges incurred during your stay, such as room service, laundry, additional person in your room, extra meals, drinks etc. In addition, in case of NO SHOW, the room night will be charged to your credit card.Card Type *MasterVisaAmerican ExpressCard Number *Cardholders Name *Expiry Date *Security Code *Cardholders Billing Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryFuture EventsWould you like to be informed about other BMI Workshops Worldwide? *Yes, please keep me updated about future BMI Workshops.No, thank you. ValidationPlease enter any two digits of your choosing so we know you are a real person. *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: