Registration form to conference on Roadmap to LGE

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Conference on the Roadmap to
Local Government Elections
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Saturday, 26th July 2008
REGISTRATION FEE
RM 20.00
(Registration fee include seminar materials, lunch and refreshments)
REGISTRATION FORM
I/We would like to register for the Talk.
Name : ……………………………………………………………………………………
E-mail : …………………………………………………………………………………….
Name of Organization : …………………………………………………………………….
Address : …………………………………………………………………….
……………………………………………………………………..
………………………………………………………………………
Tel No : ………………….. Fax No: ………………………………….
Date : ………………….. Signature : ……………………………….
Please complete and return the registration form together with the registration fee to the Malacca Bar Secretariat to confirm attendance. For registration information, please call Mr. Lawrence Ang at 06-284 5519/ 06-286 4514 or Mr. Anthony Chua at 012-628 8779 or Ms. Lau Yi Lin at 013-374 1115.
Payment can be made by cheque or cash. Cheques should be made payable to the Malacca Bar Committee. Payment must be made in advance of the event.
There are limited places available and registration is on a first-come, first-served basis. Registration by fax will be considered as confirmed.
Completed forms to be forwarded to :-
Malacca Bar Committee,
No. 9373, Taman Indah,
Seksyen 1, Bukit Sebukor,
75150 Melaka.
Tel : 06-284 5519/ 06-286 4514
Fax : 06- 283 0755