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Eco Flooring in Singapore Homes Today - APEX - Singapore ...

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REGISTRATION FORM<br />

PAYMENT OPTIONS<br />

SAP Code: 2PK-4201050-020<br />

REGISTRATION CONFIRAMTION NO.:-<br />

<strong>Eco</strong> <strong>Floor<strong>in</strong>g</strong> <strong>in</strong> S<strong>in</strong>gapore<br />

<strong>Homes</strong> <strong>Today</strong><br />

- 08 November 2012, Thursday<br />

- 7.00pm – 9.00pm<br />

- SIA Theatrette-Level 1 (79 Neil Road)<br />

(All sem<strong>in</strong>ar fees are <strong>in</strong>clusive of GST)<br />

*SIA Member<br />

Complimentary<br />

Non SIA Member S$ 45.00<br />

* For SIA Members whose registrations have been<br />

confirmed, attendance is compulsory.<br />

Absentee/Cancellations 3 days or less before the<br />

event will be charged at $20.00. Verbal notification of<br />

cancellation is not acceptable.<br />

Clos<strong>in</strong>g Date for Registration 05 Nov 2012<br />

BOA-SIA CPD Accreditation 2 po<strong>in</strong>ts<br />

Evorich<br />

Please tick your payment mode:<br />

[ ] By Cheque<br />

Bank/Chq # : _________________ Amt S$: ________<br />

Local Cheque (must be drawn <strong>in</strong> S<strong>in</strong>gapore) should be<br />

crossed and made payable to “S<strong>in</strong>gapore Institute of<br />

Architects”.<br />

Please mail to SIA office:<br />

S<strong>in</strong>gapore Institute of Architects,<br />

79B Neil Road, S<strong>in</strong>gapore 088904<br />

Please <strong>in</strong>dicate your name, company/<strong>in</strong>stitution and<br />

sem<strong>in</strong>ar date/title on the back of the cheque.<br />

[ ] By Cash<br />

You can drop by the SIA office to make cash payment<br />

between 9.30am – 5.30pm on weekdays.<br />

[ ] By Onl<strong>in</strong>e Payment<br />

http://www.sia.org.sg/payment/sia_20121108.html<br />

(It is mandatory to provide us with your Receipt ID # after<br />

your credit card payment transaction)<br />

Receipt ID #: - - -<br />

For Enquiry (Ms Jacey Tay):<br />

Tel: (65) 6226 2668<br />

Fax: (65) 6226 2663<br />

Email: cpd@sia.org.sg<br />

•All registration will be on a First-Come-First-Served basis and will<br />

be accepted upon receipt of both registration form and payment<br />

to SIA. Registration by fax will only be confirmed upon receipt of<br />

payment.<br />

Cheque payment for this activity should not be comb<strong>in</strong>ed with<br />

payment for other SIA events/courses.<br />

Fees paid are non-refundable under all circumstances. Replacement<br />

of participant will be allowed only if written notification is made at least<br />

3 days before the event.<br />

Where a Non-Member replaces a Member (must be from the same<br />

Org.) the fee difference will have to be made good to SIA prior to the<br />

event.<br />

ORGANISATION PARTICULAR<br />

All Mandatory Fields and Incomplete Form will not be processed.<br />

Organisation: _______________________________________________________________________<br />

Receipt Mail to: _____________________________________________________________________<br />

________________________________________________________________ S ( )<br />

Contact Person Name (if any): ___________________________________________________________<br />

Office Tel: ________________________________ Office Fax: ________________________________<br />

Email: ______________________________________________________________________________<br />

PARTICIPANT REGISTRATION<br />

NAME: NRIC/FIN #: SIA #: BOA #: CIJC<br />

(Org):<br />

HANDPHONE #: EMAIL: AMT:<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

Total:

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