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TAX INVOICE ABN: 6567 7654 456
Date: 20/7/2015
Important notes
All prices quoted are in Singapore Dollars (SGD) and inclusive of Goods
and Services Tax (GST).
by completing this registration form you have read, understood and agreed
to the cancellation policies and the privacy statement as stated on this form
and the website
Please send all pages to conference office.
Please keep a photocopy for your record. One form per person.
Contact details
Mr
Ms
Mrs
Last name
Organisation
Position
Address
Suburb/Town
State
Miss
Dr
Prof.
First name
Country
Postcode
Work phone
( )
Work fax
( )
Mobile
Name badge: Please indicate correct details for your name badge at the conference, if different from above:
First name
Last name
Organisation
Role at conference: Please indicate what your role at the conference will be. Please select only one:
Delegate
Invited speaker
Sponsor
Membership fee
Becoming an CNGC member is the most effective way to support Singapores Children Society, Singapore
Membership benefits include:
Regular news of CNGC
Discounted admission fee to any of the WRS attractions
Direct invitations and VIP passes to attend CNGC events and forums
Partnership opportunities with United Nations Convention on the Rights of the Child (CRC) and Humanium
I want to apply for or a new individual or organisational membership.
Nominated individual to represent organisation at CNGC 2016 or special meetings:
Concession Type and card Number:
Health Care:
Pension:
Student:
$
$
$
Platinum member:
Gold member:
Silver member:
TOTAL
Conference Registration
CHP 2013
SGD_____
Registration type
Standard rate
$432
$522
$405
$480
$580
$450
SGD_____
SGD_____
TOTAL
Hospitality Programme
Yes
No
Family Programme
Package type
Singapore Zoo
River Safari
Night Safari
Jurong Birdpark
Dining
Admission to Skypark
SGD_______________
TOTAL
Social Functions
Yes
No
Yes
No
TOTAL
SGD_____
Dietary requirements
Delegate
Vegetarian
Vegan
I have an allergy to
Guest
Name of guest
Vegetarian
Vegan
Has an allergy to
Gluten free
Halal
Gluten free
Halal
Room type
Preference
$960
Deluxe room
$480
Skyline suite
$530
Panoramic room
$340
SGD ________
Booking details
No. of occupants per room
CHP 2013
If greater occupancy per room is required than that indicated by bed sizes, extra fees may apply.
Arrival date
Departure date
Arrival time
Departure
time
AM / PM
AM / PM
Payment
All payments must be made in US Dollars only and must include GST. Charges paid by credit card will appear as Safe haven Association on your
credit card statement. Please transfer all sub totals from the sections above and check your calculations carefully.
Payment summary
Membership
$____
Conference registration
$____
$____
TOTAL
SGD ____
Method of payment
All amounts on this form are in Singapore dollars (SGD) and include 7% Goods and Services Tax (GST).
Cheque - Send cheques to the conference office
Credit card
Visa
Card number
MasterCard
Expiry date
Signature
Privacy statement
Children the Next Generation Conference (CNGC) is bound by and committed to supporting the Singapores Children Society (SCS) set out in the Privacy Amendment (Private
CHP 2013
CHP 2013
Signature: ______________________________________________