12th International Conference on
Shock & Impact Loads on Structures
14-16 June 2017
Goodwood Park Hotel, Singapore
REGISTRATION FORM (SI17)
Name (pl print):__________________________________________
______________________ Country: _________________________
(or email your business/name card)Registration Fees (
_______ Full registration fee: S$890.00 [includes an invitation to dinner]
_______ Registration fees for Bona Fide Students: S$700.00 [dinner not included, tickets
may be purchased]
_______ Conference Reception (Guest ticket): S$80.00
_______ Conference Banquet (Guest ticket): S$100.00
The full registration fee includes attendance to the Conference, a set of Proceedings (USB), the conference kit and an invitation to the conference banquet.
Email your registration form to CI-Premier, and we will update your attendance.
All enquiries and registration to:
The Conference Director
CI-Premier Pte Ltd
150 Orchard Road #07-14, Orchard Plaza
Tel: +65 67332922 OR +65 91270094
E-mail: firstname.lastname@example.org OR email@example.com
Web: http://www.cipremier.comMODES OF PAYMENT
1. Telegraphic Transfer (The payer is responsible for all bank charges incurred)
Account Name: CI-PREMIER PTE LTD
Bank Name: OCBC BANK
Bank/Branch Codes/Account No. (Swift Address)
Please send us a copy of your bank transfer order.
2. Credit Cards (VISA & MASTERCARD only) are acceptable.
Please give details and authorisation for charge by email.
Credit Card No.(VISA & MASTERCARD only):
Security Code (3-digit):
Name on card:
Alternatively you may remit directly by internet.
Step 1: https://www.enets.sg/enets2/masterCollection.do
Step 2: select category: Conference/Seminar Organiser
Step 3: select organisation: eNETS - CI-PREMIER PLNote:
All fees charged in Singapore will be the Singapore Dollars.Cancellation Policy
: (only acceptable in writing to the Secretariat)
One week before date of conference: full refund less 25% overhead / administration charges; no refund thereafter, however, a set of the conference documentation will be sent to you, or alternatively you may send a replacement (please advise name) at no extra cost.