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31st DISCON Registration
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Email
*
Your email
Applicant Name
*
Your answer
Club Name
*
Choose
RC Kota Kinabalu South
RC Tanjung Aru
RC Penampang
RC Kuching
RC Singapore West
RC Kluang
RC Luyang
RC Singapore East
RC Pontian
RC Singapore North
RC Bandar Seri Begawan
RC Sentosa
RC Tanjong Pagar
RC Segamat
RC Belait
RC Johor Bahru Sentral
RC Kinabalu Sutera
RC Pasir Gudang
RC Batu Pahat
RC Garden City
RC Mersing
RC Puteri Lagoon (Johor Bahru)
RC Likas Bay
RC Johor Centennial
RC Raffles City
RC Singapore Heartlands
RC Sandakan
RC Changi
RC Sri Kenyalang
RC Kuching Jaya
RC Queenstown
RC Kampong Gelam
RC Tanglin
RC Kota Kinabalu Mandarin
RC Kuching Central
RC Malacca
RC Kota Melaka
Rotaract Club of UNIMAS
RC Shenton
RC Muar
RC Bintulu
RC Suntec City
RC Tawau Tanjung
RC Johore Bahru
RC Kuching Unity City
RC Kota Tinggi
RC Singapore
RC Bintulu Central
RC Pasir Gudang Mandarin
RC Bukit Timah
Rotaract Club of Raffles City
RC Mount Sophia
RC Yong Peng
RC Tangkak Ledang (Mandarin)
Rotary Satellite Club Kuching Central City
E-Rotaract Club 3310
RC Tebrau
RC Johor Straits View
RC Jurong Town
Other
RC Philanthropic Entrepreneurs Singapore
RC Kota Kinabalu Pearl
RC Kota Kinabalu
RC Kota Famosa
RC Novena
RC E-Club of 3310
RC Bandar Penggaram Mandarin
RC Kuching South
RC Miri Oil Town
RC Sandakan North
RC Tawau
RC Bugis Junction
RC Pandan Valley
RC Marina City
RC Sarikei
RC Sibu
RC Kulai
RC Miri
Phone number
*
Your answer
Event to be attended
*
Full Event:- Welcome Dinner (27th May) + Conference and Governor's Banquet Dinner (28th May) + Closing Ceremony (29th May) @ RM 462 nett per person
Welcome Dinner only (27th May) @ RM 136 nett per person
Governor's Banquet Dinner (28th May) @ RM 136 nett per person
Welcome Dinner only (27th May) @ RM 136 nett per person + Governor's Banquet Dinner @ RM 136 nett per person. Total = RM 272
Spouse program
*
Yes
No
If yes for spouse program, please fill in your spouse name
Your answer
Holiday Villa Johor Bahru
Bank Detail
Please pay to:
Account Number: 501422101312
Account Name: Rotary Club of Batu Pahat
Bank: Maybank
Please sent the payment receipt to Mr Lau KB at 010-437 1500. And you can contact him for any payment related issue.
A copy of your responses will be emailed to the address you provided.
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