Campaign ‘99

Registration Form

Name (Dr./Mr./Ms.) :
Profession :
Organization :
Address :

Phone/Fax :
Email :
 Accompanying Person/s  
1.
2.
 Special Needs  
Disability (If any):
Special Requests :
 Payment Summary
Registration Fee: Hotel Deposit :
Accompanying Person/s: Total :
 Payment
Banker's Cheque: Telex Transfer :
Bank Draft : Dated :
 Single Room Rate  Twin Room Rate
USD 76 per night (Foreign) USD 85 per night (Foreign)
Local Participants : Please refer to secretariat Local Participants : Please refer to secretariat
 Hotel Reservation Form:
Name:
Arrival Date:
Departure Date :

 

     

 

If you prefer not to submit your registration online,
you can download the form in Word 97 or PDF Format,
fill-in the particulars and mail or fax it to us.
After doing so, please click here if you would like to
submit papers on topics related to the Conference theme.

 
Download registration form in
Word 97 Format (56KB)
PDF Format. (79KB)


Campaign'99 Secretariat
Room #12, Bangunan Sultan Salahuddin Abdul Aziz Shah
16, Jalan Utara, 46200 Petaling Jaya
MALAYSIA
Tel:  +603-7585502 / 7550576
Fax:  +603-7576915 / 7550576 / 7567511 / 7541644
Email:  camp99@tm.net.my


SITE MAP
Campaign'99 Main Page Introduction Selamat Datang Message from the President of MCR Organising Committee Programme Schedule Call For Abstracts
Workshops Registration Submit your
registration and
abstracts		 Important
Information		 The Venue Scientific
Programme
Update
Top