JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2016年清华大学105周年校庆聚会
◆❖◆❖◆ 2016年清华大学105周年校庆聚会活动登记 ◆❖◆❖◆
时 间：
2016年4月24号（星期天），6:00 PM – 9:00 PM
地 点：
Golden Unicorn (麒麟金阁酒楼二楼)
18 E Broadway, New York, NY 10002
(212) 941-0911
地 址：
http://www.yelp.com/biz/golden-unicorn-new-york
费 用：
成年人 $30.00
老年人（65岁及以上） $25.00
学 生（小中大学生） $25.00
学前儿童（7岁及以下） 免 费
公共交通：
http://www.yelp.com/map/golden-unicorn-new-york
联 系 人：舒丽珂：
like.shu@tsinghua.org
, 王成：
cheng.wang@tsinghua.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
❶ Registrant Information
Your First Name
*
Your answer
Your Last Name
*
Your answer
Your Name in Chinese
Your answer
Your Phone Number ☎
*
Ex: 2125326688 (numbers only please)
Your answer
Your Email Address ✉
*
Please use the same email address linked to your paypal account
Your answer
Your Wechat ID
Your answer
Your Graduated Depart
*
毕业院系
Your answer
Your Occupation
*
For table assignment reference only
Your answer
❷ Attendees' Information
Total Number of Attendees Including Youself
*
Choose
1
2
3
4
5
6
7
8
9
10
# of Children 7 Years Old and Younger Than 7 Years Old (Free)
*
Please choose 0 if none
Choose
0
1
2
3
4
Name(s) of Children 7 Years Old and Younger Than 7
Your answer
# of Full Time Students ($25/Person)
*
Please choose 0 if none
Choose
0
1
2
3
4
5
6
Name(s) of Full Time Students
Need to show ID on site
Your answer
# of Seniors (>=65) Including Yourself ($25/Person)
*
Please choose 0 if none
Choose
0
1
2
3
4
5
6
Name(s) of Seniors Including Yourself
Your answer
# of Adults Including Yourself ($30/Person)
*
Please choose 0 if none
Choose
0
1
2
3
4
5
6
7
8
Name(s) of Adults Including Yourself
Your answer
❸ Payment Information
1. 请用PayPal付款至：
PayPal@tsinghua.org
，并记下Transaction ID 或者用下面链接用Paypal或信用卡完成付款：
http://www.tsinghua.org/2016THUAnniversaryPayment
2. 请填入您付款的Paypal Transaction ID 和与PayPal 链接的email，以方便核对
Payment Record (Total amount you paid online and transaction ID for this payment)
*
Please go to
http://www.tsinghua.org/2016THUAnniversaryPayment
to make your payment if you have not done so yet
Your answer
清华车牌框（捐款$20，校友会赠送车牌框一套（2个））
Do you need Tsinghua Alumni License Plate?
*
Yes
No
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tsinghua Alumni Association.
Report Abuse
Forms
