Register



Title *   Mr    Ms    Mrs    Mdm    Dr    Prof    Eng   
Full Name *  
Position *  
Company *  
Email *  
Contact No (Office) *  
Contact No (Mobile) *  
Fax No   
Address *  
City *  
Postal Code *  
Country *  
Main Business Activity   
How did you find out about this event?   

FEE PER DELEGATE Special Fee
Register and Pay
before
23 February 2012		 Early Bird Fee
Register and Pay
before
23 March 2012		 Regular Fee
Register and Pay
after
23 March 2012
Solution Providers

Inclusive of 7% GST
USD 1,599 /
SGD 1,999		 SGD 2,138.93

Inclusive of 7% GST
USD 1,799 /
SGD 2,249		 SGD 2,406.43

Inclusive of 7% GST
USD 1,999 /
SGD 2,499		 SGD 2,673.93

Healthcare Providers

Inclusive of 7% GST
USD 799 /
SGD 999		 SGD1,068.93

Inclusive of 7% GST
USD 999 /
SGD 1,249		 SGD1,336.43

Inclusive of 7% GST
USD 1,199 /
SGD 1,499		 SGD 1,603.93

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

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

Magenta Global Pte Ltd
Account No: 651-883761-001
Swift code: OCBCSGSG
OCBC Bank, Robinson Road Branch,
77 Robinson Road, Robinson 77 #01-03 Singapore 068896


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

Magenta Global Pte Ltd
Account No: 556-002236-301
SWIFT Code: OCBCSGSG
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.

 

Hotel Information

Grand Copthorne Waterfront Hotel
392 Havelock Road
Singapore 169663

Attn: Mohd Azhar
Senior Events Manager

DID:   65 6233 1305
Fax:    65 6233 1177
International Reservations Number: (65) 6735 7575
Visa Requirements

Visitors to Singapore must hold a valid passport. For nationals of countries requiring visas to enter Singapore, please check with the respective Singapore 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

Magenta Global Pte Ltd
20 Kallang Avenue
Level 2, Pico Creative Centre
Singapore 339411

Tel: + 65 6391 2552
Fax: + +65 6392 3592
Email: register@magenta-global.com.sg

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