10.07.2015 Views

Registration Form, Click Here - Effortless English

Registration Form, Click Here - Effortless English

Registration Form, Click Here - Effortless English

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REGISTRATION FORM Date :Name: *Individual [* Male / Female] / *Company(*Delete where NOT applicable)Address :Postcode:Contact Nos : Mobile 01 - Office:Email Add:For Group [Min. 3 Participants & Above)No NAME DESIGNATION CONTACT NO. E-MAIL ADDREGSITRATION FEEGroup [Min.3 Participants & Above]Individual ParticipantNormal Fee: RM178.00 per ParticipantNormal Fee: RM198.00 per ParticipantGroup Total Amount Payable :RMAmount Payable : RMMODE OF PAYMENTCheque or Bank DraftCashTo be made in the favour of INFINITE RESOURCESMail or Bank into AM Bank and Fax bank-in-slip to InfiniteResources. [AM Bank Account No : 083-201-200-664-6]To bank into AM Bank and Fax bank-in-slip to InfiniteResources. [AM Bank Account No : 083-201-200-664-6TERMS & CONDITION1. <strong>Registration</strong> <strong>Form</strong>s are to be mailed together with Payment OR Fax/Scan (viaemail) <strong>Registration</strong> <strong>Form</strong>s together with Bank-in-Slips;2. <strong>Registration</strong> <strong>Form</strong>s and payment are to be received on/before 11 th March, 2010;3. All payment/s made are not refundable should the Participant/s cancel theirregistration;4. Placement/s is/are transferable to other names. Kindly notify within 3 workingdays before event date.5. DRESS CODE : Casual with Comfortable Shoes [A Must] and NO Slippersplease.

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