Workshop Registration Form

Harnessing Workshop Registration

Complete form below to signup for the workshop.
Name

First NameLast Name
E-mail
example@example.com
Company
Title
Address

Street Address

Street Address Line 2

CityState

Postcode
HP No

Area CodePhone Number
prevnext( X )
Course Registration Fee (1 Day Workshop)RM80 per day
80.00MYR



Course Registration Fee (2 Days Workshop)RM 80 per day; 2 days -RM160
160.00MYR



Course Registration Fee (3 Days -FULL)RM80 per day ; 3 days RM240
240.00MYR



Total

0.00MYR
How did you hear about the workshop?

Web SiteFriend/ColleagueOnline Search
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Harnessing Workshop Registration