APEC University Leaders' Forum 2023

Title

Others, please specify

Name

First

Middle

Last

Full name as it will appear on name badge and in publications

University/Institution

Position

Primary email address

Email address(es) to be copied in (if any)

Phone number

Contact person in the event of emergency

Phone number of contact person

Which of the following activities do you plan to attend? (check all that apply)

Welcome Cocktail Reception, Sunday, November 12, evening

Luncheon, Monday, November 13, early afternoon

Forum Reception, Monday, November 13, evening

Will you plan on attending the APEC CEO Summit? More information is available at https://apecceosummit2023.com

Yes

No

Undecided, please provide more information.

Do you have any dietary requirements or special needs?

Please advise your estimated date of arrival:

Do you require a visa letter for entry to the United States?

Yes (if so, the organizers will be in touch with you shortly.)

No

Do you have any other information which you would like to share with the organiser?