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LET’S GET CONNECTED


TOASTMASTERS INTERNATIONAL

DISTRICT 51 ANNUAL CONVENTION
PANSEA KL2002

24-26 May 2002

Renaissance Hotel, Kuala Lumpur

Full Name & Title
(CTM, ATM, DTM etc) : ___________________________________________________

Mailing Address : ____________________________________________________

      ____________________________________________________

Club Name : ____________________________________________________

Club No : ______________________ Division : __________________

Tel : __________________ Fax : _________________ Email : ___________________


Convention Package

  • Package from 1 June 2000 to 31 December 2000 - RM468.00 per pax
  • Package from 1 January 2001 to 31 December 2001 - RM528.00 per pax
  • Package from 1 January 2002 to convention date - RM568.00 per pax

 

Payment Method : Cheque/Bank Draft/Money Order

I/We enclose Cheque/Bank Draft/Money Order No : ________________________________

Bank/Branch : _____________________________ for RM __________ or USD _______

Payable to TOASTMASTERS – PANSEA 2002
(Please indicate at back of cheque/bank draft/money order your name, club name & tel no)

Payment Method : Telegraphic Transfer/On-line
Account Payee : TOASTMASTERS – PANSEA 2002
Account No : 21413800026293 (RHB Bank, Suria KLCC Branch, Kuala Lumpur)

Payment Method : Credit Card
By Credit Card, 3% commission is chargeable.
Photocopy of front and back of credit card required.

I, _________________________ hereby authorise Reliance Sightseeing Sdn Bhd to debit my credit card for payment as follows :

Card Type : Visa/MasterCard Card No : ______________________________________
Issuer bank : _________________________________ Expiry Date : _________________
Total amount for convention package : RM ___________________


Signature : ____________________________ Date : ____________________________

SECRETARIAT FOR PANSEA KL2002
Reliance Sightseeing Sdn Bhd Tel : 603-2162 8181 x 328 (Mr Albert Kow)
Blk A 9th Flr Megan Phileo Avenue, 12 Jalan Yap Kwan Seng, 50450 KUALA LUMPUR, Malaysia
Information : Tham Chee Wah (cwtham@pc.jaring.my Fax : 603-7811496)
Sheila Wong (slender@po.jaring.my), Kiang Faang Pyng (603-2282 6039)