THE MAP 2.0 Registration Form

THE MAP 2.0 REGISTRATION FORM

Fill out the form to register to our event
Name

First NameLast Name
Title
Company
E-mail
Phone Number
Please select one of the options below.

Individual (Non-Member) RM 350.00/eachIndividual (PLF Member) RM 300.00/eachGroup* (Minimum 3) RM 300.00/each
*GROUP ONLY: State the total number of participants
Please select your payment option.

CashChequeOnline Banking
Payment Option Notes

Cash:

Walk-in and pay at our counter from now until day of event.

Cheque:

Made payable to "Perdana Leadership Foundation"

Online Banking:

Bank: RHB BANK
Acc Number: 2143-6100-006400
Swift Code: RHBBMYKL

*Please inform us via e-mail (roy@perdana.org.my) once payment has been made with a copy of the transaction script and enclose the payment slip upon registration
Should be Empty:

THE MAP 2.0 REGISTRATION FORM