Press Registration Form
Asia's Technology Future: Transforming Business
The Asia Society's 12th International Corporate Conference
March 11-13, 2001Bangalore, India


Please fill out this form clearly and completely. All information is required for press passes.

Last Name____________________________________

First Name____________________________________________

Male_______ Female_______

Media Affiliation_____________________________________________________________________________________

Title/Position______________________________________________________________________________________

Business Address__________________________________________________________________________________

__________________________________________________________________________________________________

Telephone_______________________________________

Fax______________________________________________

Email ____________________________________________________________________________________________

Press Identification Number_______________________________________________________________

(Please attach a photocopy of your press I.D.)

Nationality_________________________________________________________________________________________

Passport Number____________________________________________________________________________________

(Visa Requirement: All media are advised to check with local Indian authorities for specific visa requirements, if any, and to allow plenty of time for processing.)

Please provide a list of all the electronic equipment that you will bring to the Conference.

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Note: Conference registration fee ($800) will be waived for members of the working press. We regret that this waiver cannot apply to spouse or guests. Press will be responsible for arranging their own visa, travel, accommodations and meals.

Please fax OR mail your completed form with a photocopy of your press i.d. no later than March 1st to:

Katie Goering, Public Relations Department, Asia Society
Asia Society, 502 Park Avenue, New York, New York, 10022, U.S.A.

tel: 212-327-9313; fax: 212-744-8825