ACTE Executive Symposium

Executive Symposium Registration Form
Fax to: – (65) 6226-3016 or Register online

Yes! I would like more information on	SPONSORSHIP opportunities at this event SPEAKING opportunities at this event ACTE MEMBERSHIP
All fields are required unless marked with a "*". Name, Title and Company will appear on badge as submitted.
First Name
Last Name
Title
Company/Affiliation
Address
Address 2 *
City
State/Province*
Zip/Postal Code
Country
Telephone
Facsimile*
E-Mail
Conference Registration:	By 10 August ACTE Member $199 USD Non-Member $229 USD Complimentary $0 USD ( If registering as a comp, please include "code")
	After 10 August ACTE Member $219 USD Non-Member $249 USD Complimentary $0 USD ( If registering as a comp, please include "code") *All conference fees include one year ACTE membership.

Payment:	Cheque American Express Diners Club Euro/MasterCard Visa
Cardholder Name
Card Number
Expiration Date

Cheque Number
	Please note – all cheques must be in US Dollars and made payable to ACTE. Mail your cheque to ACTE c/o IMS, 114 Middle Road, #05-02 Lee Kai House, Singapore.
	(Note: If you require a copy of this registration please print using your browser's print feature before submitting this form.) For more information on this event please contact: ACTE c/o IMS 114 Middle Road #05-02 Lee Kai House Singapore Telephone: (65) 6837-3273 Fax: (65) 6226-3016 E-mail: [email protected] (REFUNDS ONLY GIVEN ONE WEEK PRIOR TO WORKSHOP.) Back to main page