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REGISTRATION FORM
To: MASHRAE
c/o PrudEnergy Consulting Sdn Bhd
E-1-3 Neo Damansara,
Jalan PJU 8/1,
Damansara Perdana,47820 Petaling Jaya.
Tel: +60 12-286 1319
Fax: +60 3-7726 5512
E-mail: [email protected]
Contact Person: Ms Jessie Chong
Date: 27 December 2013
Time: 8.15am12.15pm
Venue: Dewan Kuliah 5 (DK5), Block L,
Faculty of Engineering,
University of Malaya,
50603 Kuala Lumpur.
No Name Contact no. Email RecommendedBy
Grade Fee(s)RM
Enclosed here with is a crossed cheque No. _______________ for
the sum of RM ____________issued in favour of "Malaysian Chapter of
ASHRAE".(Course fee must be sent with registration formin advance.
Delegates may be refused admission if payment is not received prior
to the event.)
I/We understand that the fee is not refundable if I/We withdraw
after my/our application is/are acceptedby MASHRAE but substitution
of participants will be allowed. If I/We fail to attend the course,
I/We willsettle the registration fee in full.
Contact Person: .................. Designation: ...
Name of Organization: .......
Address: ....
...
Tel: (O) .. (H/P) . (Fax) .. (E-mail) ....
.. ..... Date Signature
Registration fees:
Member of MASHRAE RM 150.00
Member of IEM, ACEM,PAM, ASHRAE RM 180.00
Non-member RM 200.00
