Register
Title *
Mr
Ms
Mrs
Mdm
Dr
Prof
Eng
Full Name *
Position *
Company *
Email *
Contact No (Office) *
Contact No (Mobile) *
Fax No
Address *
City *
Postal Code *
Country *
Main Business Activity
How did you find out about this event?
Greater Mekong Mobile Payment
& Banking Summit 2010
12-13 April
DELEGATES FEES
EARLY BIRD FEE
Register & Pay before
12 March 2010
REGULAR FEES
Register & Pay after
12 March 2010
Telecom Operators/
Financial Institutions
Single Participant
Corporate Group of 3
US$1495
US$1295
US$1695
US$1495
All Others
Single Participant
Corporate Group of 3
US$1795
US$1595
US$1995
US$1795
Contact person for payment confirmation (if different from above)
Name
:
Contact No
:
Email
:
Payment Modes
Cheque.
Please make cheque payable to Magenta Global Pte Ltd and indicate the name of the delegate(s) at the back of the cheque.
Bank Transfer.
Payment by telegraphic transfer in Singapore Dollar must be made payable to:
Magenta Global Pte Ltd
Account No: 651-883761-001, OCBC Bank,
Swift code: OCBCSGSG
Robinson Road Branch, 77 Robinson Road,
Robinson 77 #01-03 Singapore 068896
(All bank transfers must be marked clearly with the delegate name and event title. Bank Charges are to be deducted from participating company’s own account.)
Credit Card.
Please debit my credit card:
VISA
MasterCard
AMEX
Name on Card
:
Card No
:
Expiry Date (MM/YY)
:
View Booking Conditions below.
Visa Requirements
Visitors to Vietnam must hold a valid passport. Nationals of most countries are required to obtain Entry Visas to enter the country and must be obtained prior to arrival in Vietnam. Please check with the respective Vietnam Embassy, High Commission, Consulate or travel agent for the latest status.
Reserve your seat today! Please contact us at +65 6391 2552
Magenta Global Pte Ltd
20 Kallang Avenue
Level 2, Pico Creative Centre
Singapore 339411
Tel: + 65 6391 2552
Fax: + +65 6392 3592
Email:
register@magenta-global.com.sg
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