registration form YES! Please register the following for the program on: # Name Designation Email 1. 2. 3. 4. 5. Submitted by Name Position Email Organization Address 1 Address 2 State Country Phone Fax Org Email Select your payment method By Cheque / Bankdraft Cheque Draft No. for RM being payment for participant(s) made in favour of "RAYMA SDN BHD" will be sent to: 2B Jalan SS24/13, Taman Megah, 47301 Petaling Jaya, Selangor Darul Ehsan, MALAYSIA. a By Credit Card Select a credit card..... MasterCard Visa for RM Card Number Expiry Date (mm/yyyy) Name on Card a Additional remarks/questions? a ALL SET? Gentle Reminder: 1. Please ensure your contact numbers and email address above are correct. 2. All bookings will be confirmed via your email address. 3. You may like to print a copy of this page for your reference. 4. Need fast answers, kindly contact Ms. Pat Lu at +60.3.7804.4666 (Mon-Fri, 9am-6pm) If the above information is correct, If you wish to change any entry or start over,