ITMA Singapore - 11th ITBP Seminar 2005 Brochure

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REGISTRATION FORM

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ITMA 11th Best Practices Seminar, Singapore
6th-7th October 2005
Meritus Mandarin Hotel Singapore

1. PLEASE INDICATE YOUR SELECTION(S)

I would like to attend: ? Seminar (6th October) ? Workshop (7th October)

2. PERSONAL PARTICULARS

Title: Mr/Mrs/Miss/Mdm*
Name: ________________________________________________________
Company: _____________________________________________________
Designation: ___________________________________________________
Address: ______________________________________________________
______________________________________________________________
Country: ______________________________________________________
Direct Tel No: __________________________________ Fax: ___________
Email: ________________________________________________________

3. REGISTRATION FEE

Seminar
SGD$210 (ITMA members)
SGD$260 (Standard registration)
SGD$240 (Early- Bird registration before 22nd Sept)

Workshop
SGD$105 (ITMA members)
SGD$130 (Standard registration)
SGD$120 (Early- Bird registration before 22nd Sept)

Seminar and Workshop package

SGD$283 (ITMA members)
SGD$351 (Standard registration)
SGD$324 (Early Bird registration before 22nd Sept)

4. PAYMENT METHODS

Crossed Cheque to be made payable to:
“Information Technology Management
Association (Singapore)”
Send to:
152 Beach Road #11-06-08, Gateway
East, Singapore 189721

Credit Card: Please charge USD/SGD ____
to my credit card: Visa Mastercard

Credit card No: ________________________
Expiry Date: ___________________________
Cardholder’s name: _____________________
______________________________________
Authorised Signature: ___________________

5. HOW TO REGISTER

Fax your completed form to +65 6339 9281

Mail: Send your completed registration form and cheque payment to:

Fairfax Business Media Pte Ltd, 152 Beach Road #11-06-08, Gateway East, Singapore 189721

Enquiries: Please contact Tissie Adhistia at +65 6395 8012 or email tadhistia@fairfaxbm.com for more information.

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