LIFE Malaysia's 5th Charity Futsal Tournament 2023 Registration Form

LIFE Malaysia's 5th Charity Futsal Tournament 2023 Registration Form

LIFE Malaysia Charity Futsal Tournament

6th Year - 21st September 2025
Participating Team Name*
Authorized Contact Person*
Contact Number (Mobile)*
Address*

Street Address

Street Address Line 2

CityState

Poscode
Email*
example@example.com

Player 1:*
Captains Full Name
Player 2:*
Full Name
Player 3:*
Full Name
Player 4:*
Full Name
Player 5:*
Full Name
Player 6:*
Full Name
Player 7:*
Full Name
Player 8:*
Full Name
Official Jersey Color*

Important Notice Regarding Registration Confirmation

Please be informed that your registration for the tournament will only be confirmed upon receipt of the entry fee payment in the amount of RM250 Early Bird Price between 1st July 2025 - 16th July 2025 or RM300 for the normal Price from 17th July onwards. Ensure that payment is made within seven (7) days from the date of registration. Payment details are as follows:

Account Name: Persatuan Kebajikan Insan Penyayang KL & Selangor
Bank: CIMB
Account Number: 8008722466

Upon successful payment, please send a clear photo of the payment receipt via WhatsApp to the number below, along with your Team Name for verification purposes:

WhatsApp: 014-9692243

A confirmation email will be sent to the email address provided during registration once payment has been verified.

Kindly note: Registrations without payment after the seven (7) day period will be deemed void and automatically removed by the organizers.
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