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
EARLY BIRD FEE
Register and Pay
before
25 January 2013
REGULAR FEE
Register and Pay
after
25 January 2013
Single Participant
US$ 1399
US$ 1599
Government Authorities/NGO/University
US$ 899
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 Information
Amari Watergate Bangkok
Address: 847 Petchburi Road Bangkok 10400, Thailand
PIC: Maneerat Phayakmareang (Ann)
Associate Director, Sales (Corporate)
T: +66 2653 9000 Ext. 5113
F: +66 2653 9045
Email:
maneerat.p@amari.com
Visa Requirements
Visitors to Thailand 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 Thailand. Please check with the respective Thailand 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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