GREENRIGHT International Conference

Jakarta Convention Center, 11 – 13 April 2012

DELEGATE DETAIL INFORMATION

Mr/Mrs/Ms Full Name : First Name: Middle Name : Last Name :
Address :
City :
Institution/company :
Institution/company address :
Phone Number : Mobile Number :
Email : Facsimile :
Passport Number : Copy of Passport please, for foreigner
Passport Expiration Date : visitor.
SEMINAR PACKAGE
Early Bird *payment before March 1, 2012 Regular
2 day Seminar Package Student: IDR 1.250.000 * Copy of student card is Student: IDR 1.250.000 * Copy of student card is compulsory
(on 12 & 13 April 2012 + ½ day on compulsory
th
11 April 2012) Public : IDR 2.000.000 Public : IDR 2.500.000
Corporate Member : IDR 2.250.000
Founding Member : IDR 2.125.000
Please indicate your track Green Building Healthcare Hospitality
Please indicate your background GBC Indonesia Founding Member
GBC Indonesia Corporate Member
Individual
Industry
Others (please indicate the field) ………………………………………………………

This contribution fee has included cost for proceeding of the conference, but not yet cost of airfare travel, transportation, accommodation and meals
General Terms & Condition
Reservations : Reservations should be preferable as early as possible due to limited seats
Confirmation : Confirmation of all details send by e-mail to:
Registration-greenright@gbcindonesia.org and cc to greenright@gbcindonesia.org
or facsimile to : +62 21 734 3133
Payment : Transfer
Bank Account (in IDR) : Bank Mandiri (Tomang Branch) Account Number : 117-00-0564303-6
Beneficiary : Green Building Council Swift Bank : BMRIIDJA
Transfer Message : (participant first name) REG K.GREENRIGHT
Yes, I agreed and understand
(signature & delegates name)

Terms and Conditions:

1. Registration of seats is on a first-come, first-served basis
2. Changed plans in registration/cancellation will be considered but they must be in writing. No cancellation will be considered after 28 th March 2012.
As an alternative to cancellation, your registration may be transferred to another person without penalty.
3. Program Change Policy: The organizer, GBC Indonesia, reserves the right to change the programme where it is deemed appropriate or alter the venue
and/or speaker, due to unforeseen circumstances

AN EVENT BY
SPEAKER SPONSOR BY

GREENRIGHT INDONESIA GREEN BUILDING CONFERENCE & EXPO 2012

| “ADAPT TO SUSTAIN – Towards to a greener tomorrow” |
GBC Indonesia Secretariat : Jl. RC Veteran 3A/1, Pesanggrahan – Bintaro, Jakarta Selatan 12330
| (P): +62 21-734 3077, (F): +62 21-734 3133
(E) greenright@gbcindonesia.org
| http://greenright.gbcindonesia.org