Workshop Registration Form

Name

First NameLast Name

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

How did you hear about the workshop?

Payment Option

Please deposit cash / online transfer the payment to

Appsflex (Maybank Account No: 560296000971)

Please include appsflex.com@gmail.com for online payment

I have made payment for

Please Upload your proof of payment i.e deposit slips or receipts

Upload a File

Mobile Workshop Registration: 2,000.00 MYR

Mobile Workshop Deposit500.00 MYR

Enter coupon

Appsflex Course / Workshop Registration