Implementing Knowledge Management in Libraries and Information Services: a Workshop for Information Professionals

Wisdom Synergy's Online Registration Form
Implementing Knowledge Management in Libraries and Information Services: a Workshop for Information Professionals
23-24 April 2013, De Palma Hotel Ampang
Registration Without Accommodation
RM750 per participant (Early Bird - register latest by 5 April 2013)RM850 per participant (Normal Rate - closing 19 April 2013)Group Discount (only valid after the closing date of Early Bird)
Registration With Accommodation 3 days & 2 nights at De Palma Hotel Ampang, check-in 22 April, check-out 24 April
RM 980.00 per participant (twin sharing - Early Bird - register latest by 5 April 2013)RM 1150.00 per participant (single occupancy - Early Bird - register latest by 5 April 2013)RM 1080.00 per participant (twin sharing - Normal rate - closing 19 April 2013)RM 1250.00 per participant (single occupancy - Normal rate - closing 19 April 2013)Group Discount (only valid after the closing date of Early Bird)
Group Discount (more than 1 participant) - Discount RM100 per participant - (only valid after the closing date of Early Bird registration). The registration fee covers workshop materials, lunches and refreshments. Government Rate Hotel Booking – RM200nett/Room/Night with Breakfast for 1 or 2 Persons. Hotel Booking – Corporate rate through Wisdom Synergy, Government rate direct to De Palma Hotel Ampang (03-42707070). De Palma Hotel Ampang is nearby the Ampang STAR LRT station and Ampang Point Shopping Centre).
1. PARTICIPANT(S) DETAILS
Name1
Designation
Phone Number/HP

Area CodePhone Number
E-mail1
Accommodation (Yes/No)
Name2
Designation
Phone Number/HP

Area CodePhone Number
E-mail2
Accommodation (Yes/No)
Name3
Designation
Phone Number/HP

Area CodePhone Number
E-mail3
Accommodation (Yes/No)
Name4
Designation
Phone Number/HP

Area CodePhone Number
E-mail4
Accommodation (Yes/No)
2. ORGANISATION DETAILS
Note: This section contains required fields *.
Name of Organisation:*
Address:

Line 1

Line 2

CityState

PostcodeCountry
Name of Contact Person:*
Position of Contact Person:
E-mail of Contact Person:
Phone of Contact Person:*

Area CodePhone Number
Fax of Contact Person:

Area CodeFax Number
3. ADDITIONAL INFORMATION
Please e-mail the invoicePlease send the original invoice by mailGroup Discount, please e-mail the invoiceGroup Discount, please send the original invoice by mailBreakfast for 2 persons
Others please specify
PLEASE REVIEW YOUR FORM BEFORE CLICKING SUBMIT AND PLEASE PRINT A COPY FOR YOUR FILE.

After clicking submit, a "Thank You" page will appear.
For assistance with this online registration form, please contact us

Aliza (019 - 244 8983) or Ayati (019 - 708 5435) or e-mail wisdomsynergy@gmail.com.
NOTES:

THIS WORKSHOP IS HRDF CLAIMABLE.

1. All cancellations must be notified in writing three (5) working days before the event date; otherwise the workshop fee will be billed to your organisation.

2. Please make cheques payable to "Wisdom Synergy Enterprise".

3. For payment via telegraphic transfer, please indicate your organisation name in the payment. Bank details as below:

Bank Name: Bank Islam Malaysia Berhad

Bank Address: Cawangan Shah Alam, Tingkat Bawah, Wisma Perbadanan Kemajuan Pertanian Selangor (PKPS), Seksyen 14, Persiaran Perbandaran, 40675 Shah Alam, Selangor.

Account No: 12038010084361

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Wisdom Synergy Enterprise (SA0082354 - W)

515, Blok 10, Fasa 3C, Jalan Plumbum 7/95, Seksyen 7, 40000 Shah Alam, Selangor.

Phone: 6 - 019 - 244 8983

Fax: 6 - 03 - 2096 9206

E-mail: wisdomsynergy@gmail.com

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Wisdom Synergy's Online Registration Form

Implementing Knowledge Management in Libraries and Information Services: a Workshop for Information Professionals

23-24 April 2013, De Palma Hotel Ampang

Registration Without Accommodation

Registration With Accommodation 3 days & 2 nights at De Palma Hotel Ampang, check-in 22 April, check-out 24 April

1. PARTICIPANT(S) DETAILS

2. ORGANISATION DETAILS

3. ADDITIONAL INFORMATION