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InjectionMoulding,Tooling&DesignConference

September20th&21st2012,
SingaporeMarriottHotel
REGISTRATIONFORMPleasephotocopyifmoreregistrants
Pleaseprint/typeyourpersonalparticularsclearly:

(1)Name(Mr/Ms/Dr):Position:

(2)Name(Mr/Ms/Dr):Position:

(3)Name(Mr/Ms/Dr):Position:

CompanyName:

Address:

ContactPerson:
Tel:Fax:Email:

Feeperperson:SGD$980nett..noGSTapplicable

DiscountedfeeofSGD$880.00ifpaymentreceivedbyAugust31st2012orforgroups
of3ormorepersonsfromthesamecompany.
DiscountedFeeperperson:SGD$830formembersofPRIM/PRIS

ChequesmadepayabletoChatsworthAssociatesPteLtd

BankDraft/TT(seeconferencebrochureforpaymentinstructions)

InterBankGiroOthers

Pleaseemailorfaxcompletedregistrationformandpaymentdetailsto:

To:

Attn:
email:

ChatsworthAssociatesPteLtd
Blk109,#03271,LengkongTiga,Singapore410109
DrPhilAdamsonFax:+6567436158
padams@chatsworthgroup.com

Delegatesareencouragedtoregisterandpayearlytosecuretheirseatsandnumberscanbeconfirmedforvenue,printing,F&B,logistics
arrangements. On confirmation of registration, all payments must be received by Sept 14th, otherwise the organisers reserve the right to
withdraw registrant. Full refund will be given (less 20% handling charge) if requests for cancellation are received, in writing, by Sept 10th.
Thereafter,feespaidarenotrefundablealthoughthepersonregisteredcansendasubstitute.Howevertheorganisersmustbeinformedof
suchsubstitutionbySept14th. Theorganisersreservetherighttoalterpublishedprogrammeandspeakers,andofcancellation.Fullrefund
willbegiventotheregistrantiftheconferenceiscancelled.

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