SEMINAR REGISTRATION FORM Maxwell Chambers Pte Ltd | 32 Maxwell Road, #03-01, Singapore 069115 Keeping the Train on the Track: How to make sure that your arbitration does not fail th 12 March 2014, 4.00pm – 6.30pm Venue: Maxwell Chambers, 32 Maxwell Road, Singapore 069115 PLEASE COMPLETE THE FORM IN ENGLISH PARTICIPANT’S DETAILS Name _________________________________________________________ Office Tel __________________________ Company ______________________________________________________ Mobile ____________________________ Job Title _____________________________________________ Email _____________________________________________ Mailing Address ________________________________________________________________________________________ ______________________________________________________________________________________________________ REGISTRATION FEE  SGD 50.00 (inclusive of 7% GST) Important Notes: 7% GST is payable to Singapore registered companies and participants together with the registration fee. All fees are charged and collected in Singapore Dollars (S$). The Organiser reserves the right to make any amendments that it deems necessary without notice. Meals: All meals provided during the Seminar do not contain pork or lard. If you have special dietary requirements, e.g. vegetarian meals during the Seminar, please indicate below:  Yes, I require ____________________________ meals METHODS OF PAYMENT (Registration is confirmed only upon receipt of payment)  Bank Draft / Cheque of SGD 50.00 made payable to MAXWELL CHAMBERS PTE LTD. Please mail together with this form to the address found at the top of this form. (Cheque payments are accepted for Singapore-based participants only.)  Credit Card. Please complete the form below: Credit Card (Visa / Master) No. ________________________________________ Card Expiry Date ______________ (MM/YY) Cardholder’s Name _______________________________________________________________________________________ Billing Address (if different from Mailing Address) _______________________________________________________________ _______________________________________________________________________________________________________ CVV ( 3-digit no. at the back of the card) ______________ CANCELLATION & SUBSTITUTES If you are unable to attend, a substitute participant is welcome at no extra charge. Please inform us of the substitute participant’s particulars in writing. A full refund less 10% administrative charge will be returned for cancellations received in writing by 5 March 2014. Regrettably, no refunds will be made for cancellations received after 5 March 2014. The Organiser reserves the right to cancel or alter the content and timing of the programme or the identity of the speakers. In the event that the Seminar is cancelled by the Organiser, the registration fee (less bank charges) will be refunded. _________________________ Participant’s Signature ___________________________ Date For enquiries, please email [email protected] or call Ms. Fazirah Sa’im on +65 6595 9027.