Conference Registration
Registration has now closed.
Due to overwhelming support, the auditorium is full.
Please note that on site registration is not available.
Title
Professor
Dr
Mr
Ms
-- please select --
Family Name
*
Given Name
*
Place of Work
Occupation
-- please select --
Educational Therapist
MOE Pri Sch Teacher
MOE Sec Sch Teacher
Private Tutor
Pre-School Educator
Psychologist
Speech Language Therapist
Parent of Dyslexic Child
Others
Address
Telephone
Facsimile
Email
*
Registration Fee
Category
Early Bird Rate
(till 5th Oct 2009)
Standard Rate
(from 6th Oct 2009)
Individual
S$ 195
S$ 250
DAS Parent
S$160
Child's Name
Child's Birth Certificate Number
Group Discounts
Group of 2
S$ 185 per person
S$ 235 per person
Title
Professor
Dr
Mr
Ms
-- please select --
FamilyName
Given Name
Place of Work:
Occupation
Address:
Tel:
Fax:
Email:
Please add group of two names
Group of 5
S$ 165 per person
S$ 210 per person
Title
Professor
Dr
Mr
Ms
-- please select --
FamilyName
Given Name
Place of Work:
Occupation
Address:
Tel:
Fax:
Email:
Title
Professor
Dr
Mr
Ms
-- please select --
FamilyName
Given Name
Place of Work:
Occupation
Address:
Tel:
Fax:
Email:
Title
Professor
Dr
Mr
Ms
-- please select --
FamilyName
Given Name
Place of Work:
Occupation
Address:
Tel:
Fax:
Email:
Title
Professor
Dr
Mr
Ms
-- please select --
FamilyName
Given Name
Place of Work:
Occupation
Address:
Tel:
Fax:
Email:
Please add group of five names
Please note:
Prices quoted are inclusive of the applicable 7% GST.
Cancellations recieved in writing before 15th September 2009 will incur an administrative charge of S$80. Thereafter, no refunds will be offered. However, an alternative delegate's name may be submitted.
Refunds will not be made for NO SHOWS.
Payment
Payment Method
*
-- Select your payment method --
Cheque/Bankdraft
Credit Card
Request for Invoice
Credit Card
Orient Explorer (S) Pte Ltd acts on behalf of DAS to handle all fee Collection. All credit card charges will be made by the merchaut name: Orient Explorer (S) Pte Ltd.
Credit Card
American Express
MasterCard
VISA
-- please select --
Card No.
Name on Card
Expiry Date
Security Code (CVV)
By Cheque/ Bankdraft
Total Payment of S$ , make payable to "DAS Conference"
Request for Invoice / E-Invoice
Page to include:
Attention to:
Telephone
Billing Address
Email:
School Name/ Code
Ministry/ Stat Board
May I request for you to check with the registrants how they know of the Conference eg:
Mail
Email
Word of Mouth
Through DAS Learning Centres
Others,
