Registration Form

REGISTRATION FORM

Deadline for Early Bird Registration: 01 April 2016

Deadline for Regular Registration: 15 April 2016

RC28 Membership Status *

Member Non-member

Click HERE to become member

Registration Categories *

Delegate's Particulars (Please complete in BLOCK CAPITALS)

Title *

If others, please enter *

Family Name *

First Name *

Middle Name *

Name to be Printed on Name Badge *

Institutional Affliation *

Designation *

Department *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mobile Number *

Office Number *

Fax Number *

Email *

Conference Presenter *

Yes No

ADDITIONAL INFORMATION

Needs Special Assistance *

Yes No

Please specify if any *

Attending Cocktail Reception (evening of 25 May 2016) *

Yes No

Attending Conference Dinner (evening of 27 May 2016) *

Yes No

Any Dietary Restrictions *

Yes No

Please specify if any *

Attending Tour / Social Activity *

Yes No

PAYMENT INFORMATION

Paying with your own Credit Card? *

Yes No

If No, please indicate the Name of the Credit Card Holder *

Payment Terms and Conditions:

Registration fees include a conference pack, tea breaks, lunch, cocktail reception, conference dinner, and a social activity.
Accompanying persons may attend the dinner and social activity by paying the full cost of dinner / social activity. Dinner is $100 and Social Activity is $10.
Payment must be received on or before the indicated registration deadlines: 01 Apr for the early bird and 15 Apr for the regular registration.
For students, please email a copy of your student ID or letter from your academic advisor or program chairperson certifying that you are a registered student in your programe. Full registration fee will be charged for non-submission of supporting documents.
Due to limited places available, registration will only be confirmed upon receipt of full payment, on a first-come, first-served basis.
An administrative fee of (maximum of 5%) is charged by PayPal for every transaction made.
Paypal receipt issued will be in the name of the credit card holder.
The registration and payment information you provide will be used for purposes related to your registration to the ISA RC28 Conference in Singapore and will be kept strictly confidential. However, please note that the information you provide may be used by a third party to enable us to process your registration and payment for the ISA RC28 Conference in Singapore.

Cancellation Policy

Cancellations must be submitted to the RC28 meeting organizer by email, on or before Friday, 15 April 2016, to receive a refund on the conference registration fee only, less a S$150 processing fee. No request for refund will be approved after 15 April 2016. All refunds will be processed within two months after the conference date.

For any registration enquiries, contact us at (65) 6601 5387 or email cfpr@nus.edu.sg