8 - 11 December 2009

Due to overwhelming response, Registration is now closed.

Conference Secretariat:

Ms Angie Ong
17 Jalan Mesin, #04-01 Lee Hwa Industrial Building, Singapore 368816
Tel: (65) 6339 8687
Fax: (65) 6339 9536 / 6339 3731
Email: dengue2009@orient-explorer.com

Download Registration Form

Personal Particulars

Salutation

Email Address

First Name

Last Name

Organisation

Address

Zip Code

Country

Preferred Name for Name Badge

MCR No
(for local doctor)

Tel

Fax

Registration

	Category	Early Bird (on and before 30th September 2009)	Standard (on and after 1 October 2009)
	Full Delegate	S$250	S$350

Payment

Payment Mode

If paying via credit card:

Card Type:

Cardholder's Name

Card Number:

Card Expiry Date

Security Code (CVV Code)

Note: A 3% administrative fee is levied for credit card charges and telegraphic transfer charges.

I am paying via telegraphic transfer / bankdraft

Name of bank:		Issuing bank:
Amount paying:		Transaction number:
Total remittance:

When making payment, please quote the following:
Bank Account Number: 591-58522-9001
Swift Code: OCBCSGSG
Bank Name: OCBC Bank
Bank Address: 65 Chulia Street OCBC Centre Singapore 049513

If paying by cheque

Please make payable to "EID 2009"

Note

All bank charges for payment via Telegraphic Transfer or Bankdraft is borne by the delegate. In the event there is a shortfall of payment recieved for either your registration fee payment or hotel payment, the secretariat will collect the balance payment.
Orient Explorer (S) Pte Ltd acts on behalf of the DUKE-NUS Emerging Infectious Diseases Inauguration Symposium and the 4th Asian Dengue Research Network Meeting to handle all fee collection. All credit card charges will be made by the merchant name: Orient Explorer (S) Pte Ltd.
Cancellation And Refund Policy:
- after September 30, less an administrative fee of S$100.00
- after November 07, no refund will be made
- refund will not be made for no show
- ** all refund will only be done after the conference