Eureka 08 Symposium

Registration FOR GENERAL PUBLIC

Please kindly fill in your particulars below. * denotes required field


*	Name:
*	School/Company:
*	Contact No.:
	Email:
*	Number of People Attending: ($5 per participant)
	Total Amount $

PAYMENT

Payment can be made via CASH or NETS. Please read the payment terms and conditions below carefully before submission.

Payment can be made via cash or NETS payable to ‘Republic Polytechnic'.
Cash or NETS payment to be made at Republic Polytechnic (Woodlands campus) by 31 August 2008.
There will be no refund of participation fees for withdrawal or absenteeism of participants. However, we will be able to accept a replacement in place of the participant.
Registration will be closed once the quota for the smyposium has been reached.

For enquiries on Eureka 08 Symposium, please kindly contact:

	Ms Tan Ai Tee Administrative Officer School of Applied Science Tel: 3100 1535 Email: tan_ai_tee@rp.sg	Ms Lisa Kavita Rajah Administrative Officer School of Applied Science Tel: 3100 1070 Email: lisa_kavita_rajah@rp.sg

* I agree to the payment terms and conditions.