Crash Course / Corporate Reality Street Defense Programme Registration Form

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Crash Course / Corporate Urban Street Defense's Reality Self-Defense Programme
Course Summary:
- Simple & Direct Response Towards All Types of Assaults
- Against Sinlge or Multiple Attackers
- Simplified Ways to use Weapons of Convenience for self-defense
- Reduce Risk of Fatality Against any Assault
- Scenario Based Lessons (All types of situations in reality with STRESS TEST)
- Know your rights to defend yourself under Malaysian Law
Registering As:
This course requires a minimum of 4 participants. May I know how many individuals you are registering?
Name of Company
Name
Your preferred date & time for the course/programme?

MonthDayYear
Date
Hour MinutesAM/PM Option
Phone Number

Area CodePhone Number
Crash Course Package Choice
Corporate Programme Choice
Duration Of Corporate Programme
Key in the Generated Invoice Number (For confirmed bookings only)
Does anyone from your group have any physical conditions that we should be aware?
What do you expect (main expectation) to learn from our training? (Choose only 1)

Other
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Crash Course / Corporate Urban Street Defense's Reality Self-Defense Programme