THiNK BIG INNOVATE 2011 REGISTRATION FORM
FULL NAME
NAME TO APPEAR ON TAG
POSITION
ORGANISATION
ADDRESS
Tel:
Fax:
Email:
REGISTRATION FEE PER EVENT
Normal Rate
B$325
Early Bird Rate (up to 6 weeks before each event)
B$250
Group Registration (5 and above) per organisation
@ B$250 Each
PAYMENT METHODS
I would like to pay by:
Credit Card
Name of cardholder
Date
Card number
Exp date
Bank Transfer
Transfer to:
'Asia Inc Forum Sdn Bhd'
HSBC A/C No:
OO1-O2O924-OO1
Please fax us the stamped pay in slip as proof of payment together with details of who the payment is for.
Cheque
Cheques made payable to 'Asia Inc Forum Sdn Bhd'. Cheques can be delivered to:
ASIA INC FORUM SDN BHD, NO.6 REGENT SQUARE SPG 150, KIULAP, BANDAR SERI BEGAWAN BE1518, BRUNEI DARUSSALAM
Please enter the letters you see here before submitting
Note: Registration fee is non-refundable but is transferable to another person.
For further enquiries,
please call
2226555
or email
nanette.ramos@asiaincforum.com
or visit our website
www.asiaincforum.com
