Register


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 INAUGURAL FEE
Register and Pay
before
1 May 2013
EARLY BIRD FEE
Register and Pay
before
1 June 2013
REGULAR FEE
Register and Pay
after
1 June 2013
Single Participant US$ 1499 US$ 1699 US$ 1999
Corporate Group of 3 or more Participants US$ 1299
US$ 1499
US$ 1799
Government Authorities US$ 999

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
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 Venue

Sonesta Hotel El Olivar
Dir: Calle Pancho Fierro No 194 San Isidro
Tel: (511) 712 6050 Ext 1056

Contact details:
Jackelyn Jiménez
Coordinadora de Eventos / Events & Meeting Planner
Reservaciones: (511) 712 6060

Sonesta Hoteles Peru
www.sonesta.com
Operado por GHL Hoteles
www.ghlhoteles.com

Visa Requirements

Visitors to Peru must hold a valid passport. Nationals of most countries are required to obtain visas to enter the country. Please check with your respective Peruvian embassy, 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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