On-line Conference Registration

CONFERENCE FEE PER DELEGATE

Early Bird Fee
(up to 31 August 2009)		 S$980
Normal Fee
(from 1 September 2009)		 S$1,180

Registration Form

Personal Details of Delegate (Fields marked with * are mandatory)
Full Name * (e.g. Steven Tan)
Name to appear on conference badge *
Company * (e.g. Insurance Company Pte Ltd, XYZ Pte Ltd)
Company Type * Others (Please specify below)
Job Title / Designation *
Address *

City/State
Postal Code (Singapore address only)
Country *
Telephone *
Fax *
E-mail *
Please tick the appropriate checkbox

Special Dietary Requirements:
Vegetarian Meal
Muslim Meal

Attendance for:
Cocktail
Day 1 Networking Lunch
Day 2 Networking Lunch
Gala Dinner
Golf

Current Golf Handicap

Conference Fee
Normal Fee S$1180 per Delegate 
Total Fee Per Delegate
S$
Mode of Payment
By cheque/draft in Singapore Currency drawn on a Singapore bank and made payable to the "Singapore College of Insurance Limited"
By telegraphic transfer (in Singapore Currency) to :
Beneficiary: Singapore College of Insurance Limited
Bank Account No: 001-053726-1
Name of Bank: DBS Bank Ltd
Address of Bank: 6 Shenton Way, DBS Tower 2, Singapore 068809
Swift Code: DBSSSGSG
I will undertake to indemnify the organisers for all bank charges.
Credit Card (only VISA or MasterCard is acceptable)
Cancellation / Substitution

Any cancellation received in writing before 08 October 2009 will be refunded less S$250 in administration fee. Thereafter, cancellations will not be refundable. Delegates may be substituted at any time.

Please check and print a copy of the completed online Registration Form, if needed, before submission.

Copyright © 2009 Singapore College of Insurance Limited. All Rights Reserved by SCI.