Registration Form
Sydney, Australia March 4, 2004 Swissotel Sydney All fields are required unless marked with a "*". Name, Title and Company will appear on badge as submitted.
Name
Title
Company/Affiliation
Address
Address*
City
State/Province*
Zip/Postal Code
Country
Telephone
Facsimile*
E-Mail
Registration Fee:
ACTE Member $29 USD Non-Member $59 USD Non-Member Joining $345 USD Complimentary $0 ( If registering as a comp, please include "code")
Payment:
Cardholder Name
Card Number
Expiration Date
(Please note - all cheques must be in US Dollars and made payable to ACTE. Mail your cheque to ACTE 37/F Singapore Land Tower, 50 Raffles Place, Singapore.)
You may submit this form online by Fax: (65) 6728 3863 or Mail: ACTE 37/F Singapore Land Tower 50 Raffles Place Singapore. You may call (65)6728 3863 for questions or more information or email: [email protected].
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