REGISTRATION of PARTICIPANTS for November 2016 MEET the MEMBERS
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Registration Form MEET THE MEMBERS Wednesday, 16th November 2016 Venue : Cornerstone, Wisma Selangor Dredging, Jalan Ampang, Kuala Lumpur
Company Name of Company Rep. Designation Email Contact Number (Office) (H/P) Fax Address
REGISTRATION OF PARTICIPANTS FOR November 2016 MEET THE MEMBERS
Fees : Members RM 75*/ pax Non-members RM100*/pax *Include GST
No. Name Designation Direct Number Email
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Please email the registration form to [email protected] or fax it to 03-2181 8784 before 11th November 2016, Friday.
Payment Details: Payable to : Account name: The Malaysian Oil & Gas Services Council Bank: CIMB Account No: 800-10-40-556 Swift code: CIBBMYKL Bank branch address: CIMB Berhad, Lot G35, Concourse floor, Petronas Twin Tower, KLCC, Jalan Ampang, 50088, Kuala Lumpur. *payment to be made before/by 12 th November 2016 (Friday). *Strictly No “CASH DEPOSIT MACHINE / PERSONAL ONLINE TRANSFER”. Please email a scanned copy of your cheque deposit slip or online payment receipt to [email protected] or fax it to 03-2181 8784. *Failure to comply and submit proof of payment will be consider as unsuccessful registration
Billing Address for Invoicing
Attention to Designation Email Contact Number Fax Address
Term & Conditions:
______AUTHORIZED REPRESENTATIVE
Date: ______
-Thank you-