IGCC Regsitration Form

International Green Conservation Conference 2016
Tuesday, 19th July 2016 to Thursday, 21st July 2016

Sands Expo & Convention Centre
Marina Bay Sands, Singapore
CONFERENCE REGISTRATION FORM

Online registration is also available via
Tax Invoice ABN:
Date:
Please complete this form with your payment and mail to:
Ms Celine Choo
Singapore Convention Management Pte Ltd
7 Temasek Boulevard #30-01
Singapore 669558
Tel: (65) 6313 6779 | Email: celinechoo@scm.gov.sg
Important Notes:
All sections are to be completed and return to conference organiser office.
Payment to be paid in Singapore Dollars (SGD), inclusive of Goods & Services Tax (GST).
By completing this form, you have read and understood and agreed to the cancellation policies and privacy
statement in this form.
Please ensure you keep a copy of the completed form for your own record.
Personal Particulars
Mr
Ms
Mrs
First Name:
Dr
Prof
Others, please specify:
Last Name:
Organisation:
Job Title:
Address:
State:
Country:
Postcode:
Tel:
Fax:
Mobile Phone:
Email:

Name Badge: Please indicate correct details for your name badge
First name:
Last name:
Organisation:
Role at conference: Please tick your role at the conference.
Delegate
Speaker
Sponsor
Conference Registration: Please indicate your total registration amount

Registration Type
Early Bird Special

(Up to 11 March 2016)
Standard Rate
(After 11 March 2016)
Full Three Days Registration
SGD 300
SGD 350
Day One Registration
SGD 700
SGD 750
Day Two Registration
SGD 600
SGD 650
Day Three Registration
SGD 200
SGD 200
Total
SGD
SGD
Social Functions Gala Dinner

Please take note that the gala dinner ticket is non-exclusive of the registration fee. Kindly fill in this section if
you are keen to attend the gala dinner. An empty section will indicate non-attendance for the gala dinner.
Gala Dinner (20th July 2016) SGD
Additional Tickets for Guests SGD
Total
SGD
Social Functions Site Visit to NEWater Visitor Centre

Please take not that the site visit will be on a first come first serve basis for the first 120 delegates.
Successful delegates will be notified directly two weeks prior to the event. Kindly fill in this section if you are
keen to attend the site visit. An empty section will indicate non-attendance for the site visit.
Site Visit (19th July 2016) SGD
Additional Tickets for Guests SGD
Total
SGD
Dietary Requirements
Delegate
Vegetarian
Vegan
Others:
Gluten Free
Halal
Allergy:
Guest(s)
Vegetarian
Vegan
Others:
Gluten Free
Allergy:
Special Requirements for the Conference

Please list any special
requirements
Wheelchair access
Accommodation at Marina Bay Sands Hotel

Please choose your preferred room type
Halal

Room Type
Room Rate (per night)
Premium Room
SGD 399
Club Room
SGD 559
Total amount due
Number of nights
SGD
Booking Details
Number of guest per room:
Arrival Date:
Estimated Time Arrival:
Departure Date:
Estimated Time Departure:
Special Requirements:
Smoking / Non-Smoking (please circle)
Payment
All payment must be made in Singapore Dollars (SGD) only. Charges paid via credit card will appear as
IGCC 2016 on your credit card statement. Please transfer all sub totals from the sections above and check
your calculations before submitting carefully.
Payment Summary
Full Three Days Registration
Day One Registration
Day Two Registration
Day Three Registration
Gala Dinner
Site Visit to NEWater Visitor Centre
Total
SGD
Payment Method
Please indicate your preferred payment method

Cheque
All cheques to be made payable to

7 Temasek Boulevard
#30-01
Singapore 669558
Credit Card
(Subject to 4% transaction
fees)
Bank Transfer
(Bank charges to be
borne by payer)
Type:
MasterCard / VISA (please delete accordingly)
Cardholders Name:
Card no:
Expiry Date (mm/yyyy):
3-Digit Security No:
Address for Billing:
____________________________________
____________________________________
__/____
______
____________________________________
____________________________________
Beneficiary Name:
Beneficiary Address:

7 Temasek Boulevard #30-01
Singapore 669558
Account No:
Beneficiary Bank:
011-070-102-0
UOB Bank Suntec City Branch
Suntec City Mall, 3 Temasek Boulevard
#02-735, Singapore 038983
7375
037
UOVBSGSG
Bank Code:
Branch Code:
Swift Code:

Terms & Conditions
Cancellation of Registration:
All cancellations are strictly to be notified in writing through email to the conference organiser office by 1 May
2016. Cancellations received before 1 May 2016 will be eligible for a full reimbursement of the registration fee.
Cancellations of registration received between 1 May 2016 and 20 May 2016 will only be refunded 40% of the
total registration fee. Should any cancellations be accepted and approved, there will be an administrative fee of
SGD 100 imposed by the payer. Cancellation of registration received after 20 May 2016 will not be accepted
and refunded.
Transfer of Registration:
Should there be any substitution made in the registration, please ensure that the full name and contact details
of the person are notified in writing through emailed to the conference organiser office one month prior to the
conference. Transfer of registration is strictly not accepted after 27 May 2016.
Early Bird Registration:
To qualify for early bird registration, all registration forms and payments must be made by 11 March 2016.
Registration forms and payments received after 11 March 2016 will not be considered as early bird registration
and standard rate will be charged.
Privacy statement
Use of personal information
The conference organiser will collate all information given in the registration form for the following purposes:
Register your attendance at the conference
Assist with administrative and planning purposes
Planning and develop conferences or any other related events in the future;
Analysis of statistics for this conference
Disclosure of Personal Information to Third Parties
The information you provided in the registration form may be made available to third parties for marketing
activities, whose products and services may interest you.
The conference will not otherwise, without your consent, use or discloses your personal information for any
other purposes. Registrants may withhold consent for disclosure of their contact details to sponsors by
contacting the conference organiser office by 15 April 2016.
I have read and understood the terms & conditions.
How did you find out about IGCC 2016?
Signature: ______________

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Social media platforms (Facebook / Twitter)
Direct mailer
Colleagues
Sponsors
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International Green Conservation Conference 2016

Tuesday, 19th July 2016 to Thursday, 21st July 2016

CONFERENCE REGISTRATION FORM

Tax Invoice ABN:

Others, please specify:

International Green Conservation Conference 2016

Conference Registration: Please indicate your total registration amount

Early Bird Special

Full Three Days Registration

Day One Registration

Day Two Registration

Day Three Registration

Social Functions Gala Dinner

Social Functions Site Visit to NEWater Visitor Centre

International Green Conservation Conference 2016

Special Requirements for the Conference

Accommodation at Marina Bay Sands Hotel

Others, please specify:

International Green Conservation Conference 2016

Room Rate (per night)

Total amount due

Estimated Time Arrival:

Estimated Time Departure:

Smoking / Non-Smoking (please circle)

International Green Conservation Conference 2016

All cheques to be made payable to

MasterCard / VISA (please delete accordingly)

Singapore Convention Management Pte Ltd

International Green Conservation Conference 2016

How did you find out about IGCC 2016?

International Green Conservation Conference 2016

Social media platforms (Facebook / Twitter)

Others, please specify:

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