Document 2jkGqm7wmJk5GzgwE46avyQ0b

SHANGHAI HEALTH STUDY ANNUAL MEETING 1 - 3 NOVEMBER 2005 RESERVATION I REGISTRATION REQUEST Title: Manager, Epidemiology ___________________________ First Name: Shan ________________________________ Last Name: Tsai ________________________________ Name for Badge: Shan Tsai, Ph.D. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Company or Affiliation: Shell Oil Company _____________________ Address: 910 Louisiana Street Houston, TX 77002 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Phone: 1-713-241-6078_ _ _ _ _ _ _ _ _ _ __ Fax: 1-713-241-5875 _ _ _ _ _ __ Email: shan.tsai@shell.com ____________________________ ACCOMMODATIONS: Not sure at this time __ (I) plan to stay at the Ritz-Carlton in Tyson's Corner, Virginia. Important: Participants are responsible for contacting the hotel directly to reserve a room. Please inform the hotel that you are with the Shanghai Health Study. Hotel Information: Phone: (703) 506-4300 Website: Ritz Carlton Tyson's Corner Reservations I will arrive on: Nov. 1st,_ _ _ _ _ _ _ __ Depart on: Nov. 4th _ _ _ _ _ _ _ _ _ __ ADDITIONAL GUESTS: First and Last Name(s): None __________________________ SPECIAL EVENTS: (Yes) I will attend the reception and dinner at Maggiano's on Tuesday evening, Nov. 1s t ): (# of adults 1__ # of children_ _) (Yes) will attend the dinner at Peking Gourmet Inn on Wednesday evening, Nov. 2nd : (# of adults 1__ # of children_ _) I do not have special needs. Please let us know how we can assist. Please email completed registration form to toddm@api.org or fax to Matt Todd at 202-682-8031 ;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;; SHELL-MCCLURG-051562