ICHE ANNUAL CONFERENCE 2017 REGISTRATION FORM
June 5-8, 2017 | Fort Canning Lodge, SINGAPORE


TO CONFIRM YOUR PARTICIPATION, PLEASE FILL IN THIS ONLINE REGISTRATION FORM:

Email address *
Your Title: *
(Ms, Mrs, Mr, Dr, Rev, Bishop, etc.)
Your answer
Your Name: *
Your answer
Name of the institution you represent: *
Your answer
Your designation: *
Your answer
Institution postal address: *
Your answer
Country *
Your answer
Telephone: *
Your answer
Gender *
Conference Fee (PER PERSON): *
To be paid in cash on arrival, directly to ICHE. The Conference Fee includes meals, tea/coffee breaks, conference facilities, and registration.
Required
Accommodation Fee (PER PERSON) *
This is for FOUR days and THREE nights. Accommodation has been arranged at Fort Canning Lodge, Singapore - http://booking.ywcafclodge.org.sg/. This payment is to be made directly to Fort Canning Lodge. Credit card facilities are available.
Required
Roommate (for Twin Sharing only): *
Roommate's Name (as per her/his registration) and Organisation:
Your answer
Arrival Date:
MM
/
DD
/
YYYY
Flight Arrival Time:
Time
:
Flight Number (Arrival):
Your answer
Departure Date:
MM
/
DD
/
YYYY
Departure Time:
Time
:
Departure Flight Details:
Your answer
Do you require an official invitation for obtaining a Singapore visa? *
Required
If you have any questions, if you have dietary restrictions, or if you would like to share any additional information/details, please do so here:
Your answer
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