CONFERENCE REGISTRATION

 

 

ASIAN BITUMEN 2010
* 13 - 15 October 2010, Singapore *


Please check relevant boxes and complete fields marked *

Full Name:
*
Position:
*
Company:
*
Address:
*
*
Country:
*
Tel:
(Country Code) *
Fax:
(Country Code) *
E-mail:
*
Approving Manager:
Position:
Approving Manager
E-mail:
Main Business Activity:

*


Location*
Singapore, 13 - 15 October 2010

Registration Fee*
Full Fee - US$1995 per person
Team Fee - US$1595 per person (2nd & subsequent delegate)
Gold Connect / Alumni Fee - US$1395 per person
My Gold Connect Card No. is
To qualify for the Alumni Rate, please indicate latest year attended
Early Bird Fee - US$1595 per person (payment by 14 Aug 2010)
Joint Atendance Fee - US$1295 with MEB 2010 per person
    
(Fees include daily luncheon and coffee breaks and course materials. Travel and accommodation costs are not included.)

Payment Method*
Telegraphic Transfer (Copy of transfer instructions to be faxed to 65-6338 4090)
Credit Card (Details to be faxed to 65-6338 4090 on receipt of invoice)
Bank draft

Accommodation
Please send me a Hotel Reservation Form

Mailing List

I am unable to attend the conference but would like to be added to your Mailing List

Received Conference Brochure?*
YES. The mailing reference on the mailing label is CA274/10 *(Please complete the remaining nos.)
Note: If the mailing ref code is not available, please complete the brochure code instead: CA274/10 *
(Please complete the remaining string of alphabets - available in the registration box at the back of your brochure.)

NO, please send me one..

How did you hear about the event?*

A newspaper/publication advertisement
Please state name of publication 

Conference Connection Email Promotion

3rd party's Email Promotion.
Please specify name of 3rd party 

Your training department

 

Other

 

 




By checking this box I confirm that I agree to receiving email promotions from
the Conference Connection Group informing me of their upcoming events

 

By checking this box I confirm that I have read and agreed to the conditions  *
outlined below in the Cancellation and Substitution Policy


My objectives for attending the event


After entering your particulars, please click on the submit button below. You should see a confirmation note. If you do not see the note, your particulars have not been submitted to us. By submitting your registration to us, you would also have agreed to our terms and conditions of registration including our cancellation policy as stated below.

Event Code


Important Notes

Payments must be received before the conference date

All payments must be made in US$ by Telegraphic Transfer in favour of "The Conference Connection Inc". Please add US$25 for transfer charges which are on your company's account. Bank details will be provided upon receipt of registration.

Important: Please give our bank your name, company name and quote Ref: CA250 when making payment by bank transfer. Fax us a copy of your transfer instructions to avoid delays in tracing payments.

Cancellations and Substitution Policy

Accommodation

Visa Application & Procedure

Stated on FastFax Reservation Form 

| Bitumen Home | Registration | Download PDF |