T500 Special Offer

Retail Asia-Pacific Top500 Award Ceremony & Gala Dinner
28 Oct 2016 (Fri), Singapore, 1900-2230 hrs
1 pax 2 to 4 pax 5 to 9 pax 10 pax
In Singapore Dollars (SGD) 200 195 185 170
In US Dollars (US$) 150 140 130 120
No of Registrants
SGD
USD

Full Name*
Job Designation*
Company*
Mailing Address*
State/City*
Zip/Postal Code*
Country*
Mobile*
Email*
Telephone*
Fax
Payment
BY CHEQUE
(in Singapore Dollars only, made payable to NYCU Media Pte Ltd) and mail it to: 61 Tai Seng Avenue #05-01, Crescendas Print Media Hub, Singapore 534167.

Cheque No : Date:

BY ELECTRONIC/BANK TRANSFER, please make payable to:
DBS Bank Ltd.
26 Tai Seng Street, #01-01,
Singapore 534057
Beneficiary Name: NYCU Media Pte Ltd.
Account Number: 104-901341-3
Bank Number: 7171
Branch Number: 104
SWIFT: DBSSSGSG

Name of Payee : Date:


Waiting for PayPal...
Validating payment information...
Waiting for PayPal...