Registration Payment Form

WIPO Arbitration Workshop

October 18 and 19, 2012, Singapore

To register online for the workshop, please complete the application form below.

The registration fee of 2,000 Singapore dollars is to be settled by bank transfer.

Contact and Billing Information
Prefix
First name	*
Last name	*
Title/Function
Organization/Employer * Please fill in this field only if you participate on behalf of your Organization or Employer; in this case, please also fill in your Employer's address.
Billing Address Line 1	*
Billing Address Line 2
Billing Address Line 3
City	*
State/Province
Country	*
Zip / Postal code	*
Contact Telephone number	* (including country and area code)
Fax	(including country and area code)
Contact E-mail address	*

CLE/CPD Credit
I wish to apply for CLE/CPD credit in:	(State/Jurisdiction)

Payment Information
I will settle the registration fee for 2,000 Singapore Dollars:
	by payment to WIPO bank account, IBAN N° CH11 0483 5048 7080 8201 1, Credit Suisse, CH-1211 Geneva 70, Switzerland, Swift Code: CRESCHZZ80A :

Please ensure that your bank transfer is processed within the next 7 days. Please make sure to write your name, and the registration ID number that is assigned to you once this form is submitted, on the bank transfer instructions.

Cancellation
Please note that the registration fee paid to WIPO will be refunded only for cancellations received before September 27, 2012. Travel and visa arrangements are the responsibility of the participant.
Verification: *	Please enter below the characters displayed above.

Cancellation

Please note that the registration fee paid to WIPO will be refunded only for cancellations received before September 27, 2012. Travel and visa arrangements are the responsibility of the participant.

Verification: *

Verification Image
Please enter below the characters displayed above.

Registration Payment Form

WIPO Arbitration Workshop

October 18 and 19, 2012, Singapore

Arbitration and Mediation Center

E-Newsletter