Astrobash 40 Registration

Please provide the requested information by completing this form if you wish to participate in the upcoming NUS Astronomical Society’s 40th AstroBash to Bintan, Indonesia, during 19th to 22nd May 2017. The cost of the trip will be charged at $290 nett for non-members and $270 nett for members, with an additional discount of $10 if you sign up in groups of 3 pax. Rooming will be based on twin sharing in a double room.

Personal Information Personal Information
Gender Gender
Are you a NUS Astro Member and/or taken part in past AstroBashes? Are you a NUS Astro Member and/or taken part in past AstroBashes?
Are you signing up as an individual or as a group of 3?
Are you signing up as an individual or as a group of 3?
Are you interested to visit the city (tanjung pinang) for a half day tour? Are you interested to visit the city (tanjung pinang) for a half day tour?
As we are expecting a large number of participants joining us, ferry ride will be split into 2 batches. Which do you prefer? We will do our best to accommodate to your requests but its based on first come first served. As we are expecting a large number of participants joining us, ferry ride will be split into 2 batches. Which do you prefer?
We will do our best to accommodate to your requests but its based on first come first served.
What are you interested to learn from this Astrobash? What are you interested to learn from this Astrobash?
If others, please specify!
Do you have any dietary restrictions, allergies and/or medical conditions?
Do you have any rooming requests? Kindly note that room allocation are all twin sharing. We will do our best to accommodate to your requests. In addition, for those signing up in groups of 3, kindly state the names of the other 2 participants.
Do you have any other special requests? Comments and suggestions are also welcome!

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, 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 40th AstroBash organised by the 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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