REGISTRATION FORM FOR PAYMENT BY CHEQUE by billycorgann

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									REGISTRATION FORM FOR PAYMENT BY
CHEQUE
Monash University Malaysia Conference on “Business, Environment, International
Competitiveness and Sustainable Development of the Asia Pacific Economies”
REGISTRATION

Personal Information

First Name:                           Last Name:
______________________________________________________________________

Title:                                 Institution / Organization:
______________________________________________________________________

Phone:                              Fax:                       E mail:



Billing Address:

Address:


City                               State/ Country                   Zip Code



Registration

____ Early Registration : USD $300 or RM1080.00 (payment must be received by October 1 2007)
____ Late Registration: USD$400.00 or RM1,440.00 (payment must be received by November 1 2007)
____ Student Registration (please provide copy of valid student ID): USD $200 or RM760.00 (payment
must be received by November 1 2007)

Payment Information:

____ Cheque is enclosed payable to “Monash University Malaysia”

____ Pay by Credit Card (Please use the Credit Card Payment Form)


E mail to: sivalingam.vglingam@buseco.monash.edu.my

Or Mail to:
Professor G.Sivalingam, Chair of Business, School of Business, Monash University Malaysia, Jalan
Lagoon Selatan, Bandar Sunway, 46150, Petaling Jaya, Selangor, Malaysia. Tel: (603) 55146000 Ext
46279; DID: (603) 55146279; Fax: (603) 55146326

								
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