Company Details
Company Name*  
Address *  
City *  
Postal Code *  
Country *  
Main Business Activity   
How did you find out about this event?   

Delegate 1: *
Title *   Mr    Ms    Mrs    Mdm    Dr    Prof    Eng   
Full Name *  
Position *  
Email *  
Contact No (Office) *  
Contact No (Mobile) *  
Fax No   

Add 2nd Delegate?  

Delegate 2:
Title *   Mr    Ms    Mrs    Mdm    Dr    Prof    Eng   
Full Name *  
Position *  
Email *  
Contact No (Office) *  
Contact No (Mobile) *  
Fax No   

Greater Mekong Mobile Payments & Banking Summit 2013 EARLY BIRD FEE
Register and Pay
30 April 2013
Register and Pay
30 April 2013
Telecom Operators & Financial Institutions US$ 1299 US$ 1499
All Others US$ 1499 US$ 1699
Group of 3 or more participants will save an additional 10% off the registration fee

Contact person for payment confirmation (if different from above)
Name    :
Contact No    :
Email    :

Payment Modes

   Bank Transfer.
Payment by telegraphic transfer in US Dollar must be made payable to:

Magenta Global Pte Ltd
Account No: 556-002236-301
OCBC Bank, Hougang Mall Branch,
90 Hougang Avenue 10, #01-01/02/03 Hougang Mall, Singapore 538766

(All bank transfers must be marked clearly with the delegate name and event title. Bank Charges are to be deducted from participating company’s own account.)
   Credit Card.
Please debit my credit card: VISA   MasterCard   AMEX  

Name on Card    :
Card No    :
Expiry Date (MM/YY)    :
  Please provide photocopy of front & back of your credit card
View Booking Conditions below.


Conference Venue

NagaWorld Hotel
Address: Samdech Techo Hun Sen Park
Phnom Penh, Kingdom of Cambodia
Contact Person: Dinboneth Ho, Catering Sales Manager
Tel: +855 23 22 88 22 Ext: 30198
Visa Requirements

Visitors to Cambodia must hold a valid passport. Nationals of most countries are required to obtain visas to enter the country and these must be obtained prior to arrival in Cambodia. Please check with the respective Cambodia Embassy, High Commission, Consulate or travel agent for the latest status.

Invitation letter for travel visa will only be issued after receipt of full payment of fees.

Reserve your seat today! Please contact us at +65 6391 2552

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