Registration Form
2009 Chinese New Year Celebration
January 24, 2009, Saturday, 4:00 – 7:00 pm; Husson University, Bangor
 Register by email:Jingzhang@bangorchinese.com    Register by Fax:(207) 990-0710    Register by Mail: 2009 CNY Registration 
    Questions: Call (207) 990-0710 or email:Jingzhang@bangorchinese.com                                                        53 Cumberland Street                            
                                                                                                                                                                     Bangor, ME 04401

Space is limited so register early! Registration date is the date of payment received.
You will receive an email confirming your registration.

First Name ___________     Last Name_____________ Chinese Name (option)_____________

                Affiliation:        Educator                 Administrator             Student         Parent        Entrepreneur      

                                          Other (please specify) _______________________________________________

                Mailing Address_______________________ City ___________State ________Zip____________

               Email Address _____________________________Contact Phone_________________________

               I knew the event from: _____________________________

I would like to receive the information about: 

   Chinese Lessons;                                        2009 Chinese Dragon Camp;        2009 Trip to China;        

   Business Chinese Lessons;                         Teaching in China;                     Tourists Training and Info lessons.

 Signature__________________________                                                     Date_____________________

 $15 per person
Children 10: $8 
the fee includes dinner and activities 

                 REGISTRATION FEES