KLConference2008

KL Asia Pacific Conference 2008 Registration Form

Name of Organisation *

Address *

Phone No *

Whether member of NINA *

Yes / No

Number of Participants *

Name*

Age*

Sex*

Email*

Mobile No. *

Arrival *

date time

Departure *

date time

Conference Fee

For International Participants: Ringgit Malaysia (RM)990 per person
~ To cover conference fee, meals (tea and lunch) on conference days i.e June 11 & 12, plus transportation for trips on June 10 & 12.

For Participants from Malaysia: Ringgit Malaysia (RM)100 per person
~ To cover conference fee, meals on Day 1 (tea and lunch) and Day 2 (tea, and lunch).

Registration Details*

Payment Details
Beneficiary's A/C No.          : 5124 4620 2737
Beneficiary's Bank Name    : Maybank
Beneficiary's Bank Address: Cyberjaya, Selangor, Malaysia
Beneficiary's Name            : Persatuan Rangkaian Inkubator Kebangsaan
Address                             : c/o MCA ICT Resource Centre
                                            Level 12, Wisma MCA,
                                           163 Jalan Ampang, 50450 Kuala Lumpur, Malaysia.
Beneficiary's Tel                : +603 2161 1618
Beneficiary's Fax               : +603 2161 3618
Contact Person                 : Ms Chui Fung

Please click HERE for those who wants to pay using Credit Card Payment.

Note:
Please fax copy of TT or Credit Card Receipt to this number +603 2161 3618

* marked fields are mandatory

OPTIONAL TOUR OF MALACCA HISTORICAL CITY
Please inform the organizer if you are interested to join this tour. An additional fee (not exceeding USD200 per person) will be charged. The exact price of tour is subject to change depending on number of participants.