REGISTRATION FORM

2nd 4th March 2016

Marina Bay Sand,
Singapore

(Please complete the below in BLOCK LETTERS)

ATTENDEE DETAILS

CONFERENCE RATES

Please register the following participant(s)

1.

EARLY BIRD RATES (End of February

2016)
Regular
SGD 450

Name (Dr/Mr/Ms):
Job Title:
Tel:

STANDARD RATES

Email:

Regular
SGD 700

METHODS OF REGISTRATION
2.

3.

Name (Dr/Mr/Ms):
Job Title:
Tel:

Email:

Name (Dr/Mr/Ms):
Job Title:
Tel:
Email:
Authorisation (signatory must be authorized to sign on behalf of the
contracting organisation)

(Approving manager)
Job Title:
Organisation:
Address:
Country:
Tel:

Call: +65 6500 6789

Fax: + 65 6789 3564
Email: belle@interpacific.com.sg
www.imc2016.weebly.com
Confirmation of registration will be sent
within 7 working days.

CONFERENCE DATE AND

LOCATION
2nd 4th March 2016
Marina Bay Sands, 10 Bayfront Avenue,
Singapore 018956
www.marinabaysands.com

Fax:

Postcode:
Email:

Signature
PAYMENT OPTIONS

ACCOMMODATION
INFORMATION

Payment is due within S working days from receipt of invoice

Crossed Cheque/Bank Draft

All cheques should be made payable to LAWRICKSON PTE LTD
(please indicate your name and contact number behind)

Telegraphic Transfer (Proof of bank transaction receipt is required)

TERMS & CONDITIONS

Please make payment in SGD to the following account:

Account Name: Lawrickson Pte Ltd
Bank Name: The Hongkong and Shanghai Banking Corporation
Limited
Bank Address: 21 Collyer Quay #02-01 (Premier Centre) Singapore
049321
Bank Swift Code: HSBCSGSG

Hotel accommodation and travel costs are

not included in the registration fee. A
special corporate room rate has been
arranged for 10th International Mobile
Commerce 2016 Conference. For more
information on the rates, please visit
www.imc2016.weekbly.com
By completing this registation form,
you have read, understood and agree
to the Terms and Conditions below:

Credit Card Details

Card Number:
CVV No.
Name on card:
Type of card:
tick)

Expiry Date:

AMEX

MASTERCARD

VISA (please

Signature

All fees must be made and

received prior to the Conference.
All fees include 7% GST.
A 3.85% bank administrative fee
will be charged on the total
payment amount for credit card
payment.
Upon receiving the registration
form, the organizer will contact
you to confirm the seating
avaiability and the exact
payment amount.
Withdrawal notice must be
received in writing 14 business
days before the event start date
to receive a refund less 50%
administrative fee.
No refunds will be made for
withdrawals less than 14
business days before the event
start date.
Subsitution must be received 14
business days before the event
start date.

CONTACT
For general equiries, please contact
Joanna Lee (Ms)
DID: +65 6500 7893
Email: j.lee@lawrickson.com.sg
Website: www.imc2016.weebly.com
Note:Due to unforeseen circumtances, the conference programme may
change. LAWRICKSON PTE LTD reserves the right to alter the conference
programme details including the venue and / or speakers