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  I would like to support the Charity Hunt 2010 by:

  Becoming the GOLD sponsor ~ RM15,000 (Tax exempt receipt will be provided)
  i) Sponsor’s logo will be prominently featured in all publicity materials including car stickers.
  ii) Complimentary 5 participating cars

  Becoming the SILVER sponsor ~ RM10,000 (Tax exempt receipt will be provided)
  i) Sponsor’s logo will be prominently featured in all publicity materials including car stickers.
  ii) Complimentary 3 participating cars

  Becoming the BRONZE sponsor ~ RM5,000 (Tax exempt receipt will be provided)
  i) Sponsor’s logo will be prominently featured in all publicity materials including car stickers.
  ii) Complimentary 1 participating car

  Giving a donation (Tax exempt receipt will be provided)
  Please specify amount:

  Sponsoring item(s) for goody bags or prizes
  Please specify item(s) and quantity:

  Participating in the Charity Hunt
  Please fill up the attached Official Registration Form


Name:

Organisation:

Address:




Tel no. / Mobile no.:                                Email address:

Date:                                        Signature:



                            Donations cab ne made via:
                            a) Cheque in favour of Mount Miriam Cancer Hospital and crossed
                               “A/C Payee Only” with Charity Hunt 2010 specified on the reverse
                               of the cheque. Cheques can be sent to Mount Miriam Cancer
                               Hospital at 23, Jalan Bulan, Fettes Park, 11200 Tanjung Bungah
                               Penang.
                            b) Direct bank in to CIMB Bank, Prima Tanjung Branch.
                               A/C No.: 07120002217052. Kindly fax the bank in slip to
                               04-8932171 or email to laikhay@mountmiriam.com

                            All donations will be issued with tax exempted receipt.

				
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