AstroBash 43 Registration Form

NUS Astronomical Society will be having AstroBash 43 at Eagle Ranch Resort in Port Dickson, Malaysia from 10th December to 13th December!
The trip will cost $310 for non-NUSAS members and $290 for NUSAS members and ex-AstroBash Participants, with an additional discount of $10 per person if you sign up in a group of 4. Rooming will be twin/triple sharing.
Please help us fill in your details below.

Personal Information Personal Information
Gender Gender
Have you participated in previous AstroBashes or are a current NUSAS member?Note that the price of AstroBash 43 is $310 for Non-Members and $290 for NUSAS members and ex-AstroBash participants.  Have you participated in previous AstroBashes or are a current NUSAS member?
Note that the price of AstroBash 43 is $310 for Non-Members and $290 for NUSAS members and ex-AstroBash participants. 
Would you be signing up as a group of 4? (Note that groups of 4 who sign up together would enjoy an additional discount of $10 per person) Would you be signing up as a group of 4? (Note that groups of 4 who sign up together would enjoy an additional discount of $10 per person)
Please state your rooming request, if any. Do note that room allocation would be twin/triple sharing depending on room availability and on request.
In addition, for groups of 4, kindly provide the names of the other 3 participants below.
Do you have dietary restrictions, allergies and/or medical conditions?
What would you hope to learn from AstroBash? E.g. Astrophotography, Astronomy, Telescopes 
Any special request or comments for us! 
I acknowledge and permit the collection of data for the purposes of AstroBash 43 I acknowledge and permit the collection of data for the purposes of AstroBash 43

By indicating your consent to provide your personal data in this form, you agree to receive publicity material, updates and important announcements through phone calls,messaging platforms, texts and email. All personal information will be kept confidential and used for the purpose(s) stated only.
To help you make an informed decision, withdrawing consent will result in you not going for the 43rd AstroBash organised by NUS Astronomical Society.
Should you wish to withdraw your consent for NUS Astronomical Society to contact you for the purposes stated above, please notify us in writing to nusastrobash@gmail.com. We will then remove your personal information from our database. Please allow 5 business days for your request to take effect. 

Additionally, please note that the confirmation emails are manually sent and not automatically generated, and as such you may not receive the confirmation immediately after completing this form. Please give us a few working days to process your registration. 

Thank you!

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