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
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms