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	Inaugural Period Register & Pay before 26th May 2011	Early Bird Fee Register & Pay before 27th August 2011	Regular Fee Register & Pay after 27th August 2011
Single Participant	US$ 1495	US$ 1795	US$ 1995
Corporate Groups of 3	US$ 1295 (per delegate)	US$ 1595 (per delegate)	US$ 1795 (per delegate)
Government Authorities	US$ 595	US$ 895	US$ 995
Fee quoted are nett and exclusive of all taxes.

Contact person for payment confirmation (if different from above)

Name

Contact No

Email

Payment Modes

Cheque. Only applicable to companies in Singapore
Please make cheque payable to Magenta Global Pte Ltd and indicate the name of the delegate(s) at the back of the cheque.

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

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

(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.

Visa Requirements
Visitors to Ghana must hold a valid passport. Nationals of most countries are required to obtain visas to enter the country and must be obtained prior to arrival in Ghana. Please check with the respective Ghana 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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