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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   


FEE PER DELEGATE Early Bird Fee
Register and Pay
before
22 March 2013		 Regular Fee
Register and Pay
after
22 March 2013
Healthcare Facilities
and Government*
Fee per delegate Inclusive of 7% GST
USD 999 /
SGD 1,199		 SGD1,282.93
Fee per delegate Inclusive of 7% GST
USD 1,199 /
SGD 1,439		 SGD 1,539.73
All Others
Fee per delegate Inclusive of 7% GST
USD 1,999 /
SGD 2,399		 SGD 2,566.93
Fee per delegate Inclusive of 7% GST
USD 2,199 /
SGD 2,639		 SGD 2,823.73
Group of 3 or more participants will save an additional 10% off the registration fee

Fees quoted are net and exclusive of all taxes. A 7% GST is applicable for all Singapore registered companies.
*This rate applies to individuals employed by hospitals, clinics, nursing centres, homecare facilities, Ministries and the related organizations.

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
PIC: Mohd Azhar, Senior Events Manager
Direct (65) 6233 1305
Fax (65) 6233 1177
Email: Mohd.Azhar@grandcopthorne.com.sg
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

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