10 - 14 October 2010, Marina Bay Sands, Singapore
Registration
Back to ICASM 2010 Homepage
For further information, please contact:
Orient Explorer (S) Pte Ltd
 17 Jalan Mesin, #04-01 Lee Hwa Industrial Building, Singapore 368816
Tel: (65) 6339 8687
Fax: (65) 6339 9536 / 6339 3731
Email: secretariat@icasm2010.com
 
Personal Particulars
Salutation* IAASM Academician*
Family Name* Given Name*
Preferred Name for Name badge*
Organisation*
Appointment* Military Rank
(if applicable)
Mailing Address*
Postal Code*    
Country* Email*
Tel* Fax
 
 
Accompanying Person
Salutation    
Family Name Given Name
Preferred Name for Name badge
 
 
SECTION A – Registration Fee

Category

Early Registration
until 30 June 2010

Standard Registration
1 July – 30 September 2010

Late & On-site Registration
after 1 October 2010

Participant

S$980.00

S$1100.00

S$1200.00
Accompanying Person
S$525.00
 
SECTION B – Additional Tickets
Description Amount per person

No of Tickets
Welcome Dinner (Monday, 11 October 2010)
S$150.00
Gala Dinner (Thursday, 14 October 2010)
S$200.00
 
 
SECTION C -Payment
Payment Method*    
       
Credit Card Details:
(note: payment by credit card is subject to 3% administrative fee)
Credit Card
 Card No.
Name on Card
 Expiry Date
Security Code (CVV)    
Orient Explorer (S) Pte Ltd acts on behalf of 58th International Congress of Aviation & Space Medicine to handle all fee collection.
All credit card charges will be made by the merchant name: Orient Explorer (S) Pte Ltd.
By Cheque/ Bankdraft
Local cheque is made payable to "ICASM 2010"
Telegraphic Transfer (all bank charges will be borne by the participant).
details as follows:
Account Name: ICASM 2010
Bank Account No: 591-686696-001
Name of Bank: Overseas-Chinese Banking Corporation Limited
65 Chulia Street OCBC Centre Singapore 049513
Swift Code: OCBCSGSG