ONLINE Registration for Overseas Delegate

Please use this page for online registration, alternatively you may download the registration form and fax it back to us +603-22825884 / send by courier/hand to the 19th ASA Congress secretariat c/o MAPSA.
                                              
Manual registration form – Foreign download here

Title * :
First Name * :
Last Name * : (as in passport)
Nationality :
Passport* :
Name to Print on badge : (Max 20 character)
Name of Association : (for Affiliates / MAPSA Members)
Company Name :
Job Title :
Correspondence Address : Address 1 *
    Address 2
    Address 3
Postcode :
State :
Country :
Contact : Telephone *
    Mobile *
    Fax
    Email *
I have attended past ASA Congresses. The 19th ASA Congress is my number Congress.
This is my first time attending the ASA Congress
 

Congress Package
(foreign Delegate)

ASA Member

Non-ASA Member

Single Room

MYR 2,660

USD 860

MYR 3,660

USD1,180

Twin Sharing

MYR 1,840

USD 595

MYR 2,840

USD 915

Triple Sharing *

MYR 1,705

USD 550

 

Congress Package With Hotel Accommodation includes :
Four nights Hotel Accommodation at Crowne Plaza Mutiara Hotel (19-22 October), 3 days Congress with meals, refreshments, entertainment & airport transfers (for group arrival only).
Congress Package does NOT include personal travel expenses.
* Triple sharing rooms are limited. First- come- first basis.

 

Flight Details (If applicable)

Arrival Date :

Arrival Time :

Arrival Flight # :

Departure Date :

Departure Time :

Departure Flight # :

I will be travelling with group? Yes | No
# note: organizer will arrange airport transfer for group arrival only.
 

Room Booking Requirements

Single Room

Double Room
(in any event no name is provided, the organizers assume full right to assign you with a room mate)
1. First Name :         Last Name:         Country :

Triple Room
(in any event no name is provided, the organizers assume full right to assign you with a room mate)
1. Full Name :         Last Name:         Country :
2. Full Name :         Last Name:         Country :

 

Dietary Requirements

Vegetarian

Others: Please specify

 

POST CONGRESS TOUR

Please check in the box if interested.  The appointed Travel Agent will liaise directly with you.
Yes, I interested
No, I not interested

Post Congress Tour (Optional) :
To Sarawak, East Malaysia for 3Days/2Nights (23-25 October) This package includes domestic flight KL-Kuching roundtrip (including taxes) – Airport/Hotel/ transfer, meals, Twin sharing hotel accommodation, entrance fees for attraction places where applicable.

 

HOTEL BILL SETTLEMENT UPON CHECK OUT

Please note that the Congress Package covers hotel accommodation for check in on 19 October 2008 and check out on 23 October 2008. Hotel room cost and incidental charges incur during pre and post stay are to be borne by delegate and required to be settled upon departure. The organizer holds no liabilities on any unassociated costs incur by Congress delegates. Airport Transfer will be arranged only for GROUP ARRIVAL. For independent travelers, transfer to hotel can be easily arranged at the airport terminal. Airport taxi cost approximately MYR100 one way

 

CONGRESS PACKAGE FEES 

Please note that all charges incurred from Telegraphic Remittance shall be borne by delegate. 
Any insufficient amount to the Congress Package Fee resulting from remittance will be NOTIFIED via email prior to the Congress and delegate will be required to make payment to the Congress Secretariat in Kuala Lumpur

 

PRE and POST CONGRESS HOTEL STAY 

We will make hotel booking for you according to your arrival and departure details, however you may have different set of check in/out date, please specify below your check in/out dates. We will make your room booking based on the check in/out date given below.

I will be arriving early/staying on after Congress and will be staying at hotel
Therefore, my check in/out date at the Congress Hotel is as follows:
Check in date:  (DD-MM-YY)                         Check out date:  (DD-MM-YY)

I will be staying at the Congress hotel. My check in/out is according to my flight details.
Crowne Plaza Mutiara Hotel (Single room MYR 420nett w/bf; twin sharing MYR 210nett w/bf)
 

Please assist me to make hotel booking at the concorde hotel.

Concorde Hotel Pre-Congress stay
Check in Date
Pre-Congress stay
Check Out Date
Post-Congress stay
Check in Date
Post-Congress stay
Check Out Date
Single Room (MYR280)
(DD/MM/YY)

(DD/MM/YY)

(DD/MM/YY)

(DD/MM/YY)
Twin Sharing (MYR140)
For Twin-sharing, I will be sharing with
First Name :         Last Name:         Country :
 
Please provide credit card details for securing your hotel booking (pre/post congress).
Types of credit card : Master Card Visa AMEX Diners
Name as printed on card :
Card numer :
Expiry Date :
 

Payment Information for the CONGRESS PACKAGE FEE

Online Bank or telegraphic Transfer or
Bank name :      Public Bank Berhad
Bank location :   Bangsar Branch, Kuala Lumpur
Swift code :     PBBEMYKL
Account No :     3147227403
Account name : MAPSA ASA CONGRESS

Please send a copy of remittance slip via facsimile transmission or email to
JessieHo_ASA@mapsa-malaysia.com
 

Please PRINT and RETURN the Registration Form Together with the payment to the following address

 

19th ASA Congress Secretariat
c/o MAPSA
Rumah MAPSA, No; 15 Lorong Tempinis Kiri Satu, Lucky Garden, Bangsar, 59100 Kuala Lumpur, Malaysia.
asacongress2008@mapsa-malaysia.com
Tel:  +603-2282 8308   Fax:  +603-2282 5884
www.mapsa-malaysia.com

 

The Organizer accepts no liability for death, injury, any loss, cost or expense suffered or incurred by any person traveling to, or participating in the Congress.  The Organizer will also not accept liability for losses suffered by reason of war including threat of war, riots and civil strife, terrorist activity, natural disaster, weather, fire, flood, drought, technical, mechanical or electrical breakdown within any premises visited by delegates in connection with the Congress, nor for industrial disputes, government action, regulations or technical problems which may affect the services provided in connection with the Congress hotel nor its surrounding environment, which may or may not be visited by Congress delegates. The Organizer reserves the right to make any amendments that it deems to be in the interest of the Congress, without any notice.

 

CLOSING DATE :   1st July 2008