IASA SEAPAVAA
CONFERENCE 2000 |
| CONFERENCE REGISTRATION FORM DEADLINE FOR REGISTRATION: 15th May 2000 |
| THE
COMPLETED REGISTRATION FORM MUST BE FAXED OR POSTED TO: Ms Karen Chan |
Please complete the following in BLOCK letters.
[_] Please tick where appropriate.CONFERENCE DELEGATE
| [_] Dr. [_] Mr.
[_] Mrs. [_] Ms. Family Name: .. First Name ...... |
| Organization: . |
| Designation / Profession : . |
| Address: ... |
| Zip: .. City: Country: . |
| Phone: Fax: . |
| E-mail: . |
Accompanying person attending conference (if applicable)
| [_] Dr. [_] Mr. [_]
Mrs. [_] Ms. Family Name: . First Name . . |
| CONFERENCE FEES All fees are quoted in Singapore dollars and are inclusive of 3% Goods and Services Tax (GST). Please tick your option in the box provided. |
| [_] | OPTION A Full Conference Delgate (MEMBER of IASA or SEAPAVAA) |
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S$ 425 |
|
| [_] | OPTION B Full Conference Delegate (NON-MEMBER of IASA or SEAPAVAA) |
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S$468 |
|
| [_] | OPTION C Accompanying Person of IASA or SEAPAVAA MEMBER |
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S$213 |
|
| [_] | OPTION D Accompanying Person of IASA or SEAPAVAA NON-MEMBER |
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S$235 |
|
| [_] | OPTION E Single Day Session [_] 4th July 2000 [_] 5th July 2000 [_] 6th July 2000 |
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S$ 90 |
|
| [_] | OPTION F Single Day Session for Morning Programme on 3rd July 2000 only |
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S$65 |
|
| [_] | OPTION G Single Day Session for Afternoon Programme on 7th July 2000 only |
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S$ 65 |
| APPLICATION FOR IASA/SEAPAVAA
MEMBERSHIP I wish to sign up for membership with [_] IASA [_] SEAPAVAAAccompanying person wishes to sign up for membership with [_] IASA [_] SEAPAVAA |
SPECIAL MEAL REQUEST
Please tick your choice, if applicable:
| [_] | Muslim Meal | [_] | Vegetarian Meal | [_] | Not Applicable |
FAREWELL DINNER (optional)
Friday, 7th July 2000, National Archives of Singapore
| Cost of Dinner per person = S$30.00 |
| [_] Yes [ Number of people: _______ (i.e, if more
than one person attending dinner)] [_] No |
| INSTITUTIONAL VISITS Institutional Visits Tuesday Afternoon, 4th July 2000 (1415 hrs 1800hrs) [_] I wish to sign up for the institutional visits to the local broadcasting stations. [_] Accompanying person is signing up for the visit.
NATIONAL ARCHIVES OF SINGAPORE TOUR Visit to National Archives of Singapore, Wednesday 5th July 2000 (1615-1700hrs) [_] I wish to sign up for the tour of National Archives of Singapore. [_] Accompanying person is signing up for the tour.
MUSEUM TOUR Museum Tour Wednesday Night, 5th July 2000 (1930hrs 2200hrs) Group A: Singapore History Museum & Asian Civilizations Museum Group B: Singapore History Museum & Singapore Art Museum Please tick your choice: I wish to sign up for [_] Group A or [_] Group B.Accompanying person is signing up for [_] Group A or [_] Group B.PAYMENT Please tick the amount payment is made for: [_] Option A - S$425 [_] Option F - S$65 [_] Option B S$468 [_] Option G - S$65 [_] Option C - S$213 [_] Farewell Dinner S$30 per person if more than one person is attending, please [_] Option D - S$235 indicate total amount here: S$___________ [_] Option E - S$90 per session if attending more than one single session, please indicate total amount here: S$_____________
GRAND TOTAL PAYABLE: S$__________________ |
| Payment can be made via the
following: [_] International Bank Transfer (in Singapore Dollars only). Details of the payee and the name of the conference must be clearly stated on the payment advice to ensure your payment is accounted for. Below are the details necessary for a bank transfer.
|
[_] Credit Card * VISA /American Express / Diners Club / Master
( Please delete accordingly)| Credit card number: |
Name : ________________________________________
Signature : ____________________________ Date : _________________
Card Expiry Date : ____________________________
| [_] Cheque (applicable to local participants from within Singapore only). The cheque in SingaporeDollars is to be crossed and made payable to: National Heritage Board. Please send the cheque to:National Archives of Singapore
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CANCELLATIONS Registrations cancelled before 15 May 2000 will be refunded in full. Registrations cancelled on or after 15 May 2000 and before 15 June 2000 will be refunded with a deduction of 10%. Registrations cancelled on or after 15 June 2000 will not be refunded.
CONFIRMATION An official receipt to confirm your conference registration will be sent to you within 2 weeks upon receiving your registration form AND payment.
A REMINDER Closing date of conference registration is 15th MAY 2000. A late penalty of 10% on the listed fees will be charged for late submissions after 15th May 2000.
HOTEL ACCOMODATION RESERVATION Please indicate your choice. You are reminded to fill up the hotel accommodation reservation forms which are separately attached and which are to be faxed or posted directly to the hotel of your choice. [_] Hotel Inter-Continental Singapore [_] Carlton Hotel Singapore [_] Oxford Hotel SingaporeDeadline for hotel accommodation reservation is 30th April 2000. |