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CONFERENCE REGISTRATION

International MEMS Conference (iMEMS 2006)

SiNgApOrE

May 9 - 12, 2006
Biopolis, Singapore

A. DELEGATE’S DETAILS:

Prof/Dr/Mr/Mrs/Ms:____________________________________________________________________________________________
Family Name/ Last Name:______________________________________________________________________________________
First Name/ Given Name:_______________________________________________________________________________________

Designation:_________________________________________________________________________________________________ Institute/University/Organization:__________________________________________________________________________________ Department:_________________________________________________________________________________________________

Mailing Address:______________________________________________________________________________________________ City:_____________State/Province:_________________Zip/Postal Code:__________________Country: ________________________

Paper Number and Title (if author):________________________________________________________________________________
Maximum of two paper presentations per registration

Dietary Restrictions (if any):_____________________________________________________________________________________
Tel: _________________________ Fax: __________________________ E-mail: _______________________________________ Presentation type: Oral / Poster (Delete where necessary)

B. REGISTRATION DETAILS:

(Please Tick accordingly)
Category	Number	Fee Per Person	Amount Payable
o Full Delegate*		o US$600 / SGD $1000
o Student**		o US$600 / SGD $1000
o Tutorial (per half day session)		o US$250 / SGD $400
o Non-Participating Accompanying Person***		o US$150 / SGD $240
o Additional Proceedings		o US$50 / SGD $80 per copy
Total Amount

*      Full Delegate Fee includes welcome reception, daily coffee breaks and lunches, Banquet, attendance to all technical sessions and public lectures, entry to exhibition, conference materials and 1 copy of the proceedings.
**     Student registered under the student category will receive the same entitlement as a Full delegate. Official letter from school and copies of student identification are to be submitted together with the conference registration form in order to be entitled for the student registration.
***    Non-participating Person Fee includes welcome reception, Banquet, attendance to public lectures, and entry to exhibition.

C. Payment Mode

Registration payment can be made via cheque/bank draft or by wire transfer.

All cheques / bank drafts should be made payable to “TH Contact Pte Ltd” and mail to the conference manager at the following address:

TH Contact Pte Ltd
2 Havelock Road #B1-06
Apollo Centre
Singapore 059763

Kindly indicate your name and contact number at the back of the cheque/bank draft. Only cheque/bank draft drawn from a Singapore bank is acceptable (Please DO NOT send foreign cheques).

All wire transfer should be made to:

Swift: OCBCSGSG
Account Number: 652819012001
Account Name: TH Contact Pte Ltd

Name and Address of Bank:

OCBC People's Park Branch
Oversea Chinese Banking Corporation Limited
65 Chulia Street OCBC Centre
Singapore 049513

All banking charges MUST BE borne by the participants.
Registration will only be confirmed upon receipt of payment.