Registration Form

 
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Registration Form
       

Name* :

Designation* :

Contact Person :

Organisation* :

 

 

   

Address :

 

E-mail* :

   

Office Tel :

Office Fax :
Mobile Tel* :
 
Meal* :
Non Vegetarian
Vegetarian
Referred By / Membership No.* :
       
Mode Of Payment* :    Cash Banked In      Cheque    Internet Banking
       
 

Payment Instruction:

•  Fill in the Registration Form
•  Make your cheque payable to: Malaysian Association of Professional Speakers
•  Bank-in into Maybank Berhad A/C No. 5143 0112 0136 (can be done at any Maybank Berhad)
•  E-mail this completed form and a scanned copy of pay-in slip as proof of payment to convention@maps.org.my

or

•  Fill in the Registration Form
•  Make your cheque payable to: Malaysian Association of Professional Speakers
•  Mail this completed form and a copy of pay-in slip (please retain the original copy) as proof of payment to

Malaysian Association of Professional Speakers
H6, Bangunan Khas, Jalan 8/1E,
Off Jalan Barat, 46050 Petaling Jaya, Selangor.

For any further information, please email: convention@maps.org.my