Closing date for registration: 11 April 2011

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FORUM
SPECIAL INTERACTIVE SESSIONS
$25 per person
*Add another $12 to attend a workshop of your choice!
 Diabetes Alert
 Exercise
Management
SIGN
UP HERE!
 From Peri-Menopause to Menopause

Eating
Right
A Busy
Closing date for registration: 11InApril
2011World
 Keeping That
Beautiful
 Aesthetic
Eyelid
Surgery
*Sign Smile
up by 11
April to enjoy the $30/2pax (forum
only) promo.
Walk-in
registration will be $20/pax.*
 Ovarian Cancer
(Please  your choice)
 Forum ONLY
 ($25/pax)
 ($40/2 pax)
 Forum + Special Interactive Session
 ($37/pax)
 ($64/2pax)
(Please  ONLY ONE)
 EXERCISE MANAGEMENT
 EATING RIGHT IN A BUSY WORLD
 AESTHETIC EYELID SURGERY
PAYMENT
TOTAL AMT PAYABLE S$
 Cheque No:
(Crossed and made payable to Singapore Health Services Pte Ltd)
 Credit Card No:
 AMEX
 DINERS
Expiry Date:
 MASTERCARD
 VISA
(Month/Year)
Signature:
MY DETAILS
Name (Mr/Ms):
Email:
I/C No:
Contact No:
Address:
MY FRIEND’S DETAILS!
Name (Mr/Ms):
Email:
I/C No:
Contact No:
Address:
Special Interactive Session:  EXERCISE MANAGEMENT
 EATING REIGHT IN A BUSY WORLD
 AESTHETIC EYELID SURGERY
For credit card payment, please complete above, sign and fax to 6270 1541.
For cheque payment, please mail cheque and registration form to: Singapore Health Services Pte Ltd,
SingHealth Women Forum 2012, 168 Jalan Bukit Merah, #11-01, Surbana One, Singapore 150168.
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