SinBerBEST Symposium 2015 Sign-Up

Please complete the form below to register for this event. The red asterisk indicates required fields.

The SinBerBEST Symposium 2015 Team:
Keith Tan: keith.tan@bears-berkeley.sg (Singapore)
Mea Halperin: mhalperin@berkeley.edu (Berkeley)

Full Name *

Please enter your full name as it will be printed on your badge.

Professional Title *

Organization *

Other Organization

If you selected 'other,' please specify the organization you are affiliated with.

Email Address *

Please enter your email address. We will use it as the main means of communication.

Contact Number (Optional)

Please enter a telephone number where we may be able to reach you (optional).

Attendance *

Tuesday, January 6th, 2015

Wednesday, January 7th, 2015

Meal Preference

Vegetarian

We will provide vegetarian and halal non-vegetarian meals. Please check the option above if you require a vegetarian meal.