i-CREATe 2010 Conference Registration Form


On-site registration starts on 21 July 2010
Scientific Program and Exhibition is from 22 – 24 July 2010
A. Attendee Profile (All fields required)
Title: Dr     Prof     Mr     Mrs     Miss     Mdm    
First name / Given Name:
Last name / Family Name:
NRIC / Passport:
Nationality:
Organization / Company:
Job Title:
Address:
 
Country:
Postal / Zip code:
Email:
Telephone:
Mobile:
Fax:
Paper ID No.:
Membership Number:
RESNA    RESJA    ARATA   
   Please tick here if you require an invoice for your registration

B. Conference Fee (Please tick accordingly)
  Early Bird Fee
(by 25 June 2010)		 Standard Fee
(after 25 June 2010) 		Discounted Fee
(Membership &
Group Registration
of 4 or more)
Full Pass 630.00 USD
(882.00 SGD)		 700.00 USD
(980.00 SGD)		 560.00 USD
(784.00 SGD)
For full-time students, senior citizens (65 yr & above) and people with disability (Standard Fee)
Concession Full Pass *
Each Concession Full Pass registration allows publication of ONE paper. 		420.00 USD
(588.00 SGD)
Student Design Challenge Pass
Up to 5 students for undergraduate team and up to 3 students for postgraduate team. 		700.00 USD
(980.00 SGD)

For Full Concession Pass please select accordingly:
Student    Senior Citizen (65yr & above)    People with Disability (Please state the condition: )
* Only senior citizens and PWDs will be entitled to the Gala Dinner.

Note:
  • The above passes include lunch and tea breaks. Full access to exhibition, workshops & conferences.
  • Members of RESNA/RESJA/ARATA and group registration (4 or more) are entitled to 20% discount off the regular fee..
  • Maximum of 2 PUBLICATIONS for AUTHORS (who are NOT full-time students, senior citizens – 65 yr & above and people with disability) registering for the conference. All authors have to register for the FULL PASS.
  • Each paper MUST NOT EXCEED 4 PAGES. USD 150 will be charged for EACH ADDITIONAL PAGE.
  • For authors submitting MORE THAN 2 PAPERS, USD 150 will be charged for EACH ADDITIONAL PAPER.
  • Maximum of 1 publication for full-time students, senior citizens – 65 yr & above and people with disability registering for the conference. USD 150 will be charged for EACH ADDITIONAL PAPER.
C. Payment Method
All payment has to be made in Singapore Dollar.
Please note that the Singapore Dollars equivalent amount is based on a pro forma constant exchange rate at 1USD = 1.40SGD
Please indicate the mode of payment & payment details below.
Cheque (ONLY Applicable for Singapore Bank Cheque)

Please indicate your name and company on the back of the cheque.
- All cheques should be crossed
- Made payable to "START Centre Pte Ltd"
- Mailed to i-CREATe 2010 c/o START Centre Pte Ltd, 49 Kaki Bukit View, Kaki Bukit TechPark II, Singapore 415973
Telegraphic Transfer (Please make payment in Singapore Dollar)

Name of Beneficiary:    START Centre Pte Ltd
Name of Bank: United Overseas Bank Ltd
Account Number: 341-300-793-1
Bank Address: UOB Holland Road, 211 Holland Ave #01-12,
Holland Road Shopping Centre,
Singapore 278367
Swift Code: UOVBSGSG

Please indicate the name of the event (i-CREATe 2010), name(s), company and contact details of attendee(s) when remitting payment. Full fee must be received by the Organizer prior to confirmation of registration. Please also advise payment details to secretariat@icreateasia.org
Credit Card
I wish to make the payment via credit card (visa / mastercard only)
Cancellation and Refunds
  • Please note that any cancellation to your registration must be made in writing & must reach the organizer by 1st July 2010.
  • Please email your cancellation stating your registration number and full particulars (name, job title, company, billing address, contact details, etc.) to: secretariat@icreateasia.org
  • Cancellations received by 1st July 2010 will be refunded less USD100 administrative charges. Refunds will be made after the end of event.
  • We regret to inform that there will be no refund for cancellations received after 2nd July 2010. Any requests for refunds made after this deadline will not be entertained but substitute delegates are welcome. Please email the personal details of substitute delegates to secretariat@icreateasia.org by 9th July 2010 for processing. Requests for replacements submitted after 9th July 2010 will not be entertained.
  • Send request for registration cancellation to:

    i-CREATe 2010 c/o START Centre Pte Ltd,
    49 Kaki Bukit View,
    Kaki Bukit TechPark II,
    Singapore 415973
    Tel: (65) 6743 0262
    Fax: (65) 6743 0263
    Email: secretariat@icreateasia.org

I have read, understood and accepted the terms and conditions of this registration as well as the cancellation and refund policy.