Fill in the form below to register for a booth. 100% of all proceeds from booth rental go to charity.

Love Export IV Bazaar - Stall Registration
Fill in the form below to register for a booth. 100% of all proceeds from booth rental go towards the fundraising effort by NUS Community Service Club in Prey Kla, Cambodia.
Full Name

First NameLast Name
E-mail
Contact No.
Single booth booking: 19 October 2011
Single booth booking: 20 October 2011
Single booth booking: 21 October 2011
3 day package booking: 19, 20 & 21 October 2011
Mode of payment
Pay now via Paypal
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(CAT A) Booth on 19 October 2011$60.00 SGD

Quantity

(CAT A) Booth on 20 October 2011$60.00 SGD

Quantity

(CAT A) Booth on 21 October 2011$60.00 SGD

Quantity

(CAT A) 3 day package$180.00 SGD

Quantity

(Cat B) Booth on 19 October 2011$70.00 SGD

Quantity

(CAT B) Booth on 20 October 2011$70.00 SGD

Quantity

Total $0.00 SGD
What will you be selling? (Note: only first hand goods allowed to be sold)
Any other comments?
Should be Empty:

Love Export IV Bazaar - Stall Registration