REGISTER By 28 September 2016. Email:
/ Fax: 6323 1779. Please state the number of seats/tables in the em
Contact Name:
Designation:
Organisation: Office No:
Mobile No:
IEA M’ship No:
Email:
REGISTER By 28 September 2016
TABLE/SEATS BOOKING
Email:
[email protected] / Fax: 6323 1779
Please state the number of seats/tables in the empty box accordingly Dinner Tickets/cards will be issued upon confirmation. Full payment is required. Please make cheque payable to “IEA” Table(s) at $1,500 nett per table of ten (10) pax IEA Member - Seat(s) at $150 nett per seat Please Tick your Food Preference
⃝ Chinese Food
Non-IEA Member - Seat(s) at $170 nett per seat ⃝ Muslim Food
⃝ Vegetarian
Amount Received ____________________⃝ Cash ⃝ Cheque ________________________⃝ Nets _____________ 480 Lorong 6 Toa Payoh, HDB Hub, East Wing Lobby 1 #07-01, Singapore 310480 | Tel: 6323 1770 | Fax: 6323 1779 | Email:
[email protected] | Web: www.iea.sg
