Registration

 

INDIVIDUAL INFORMATION

Gender:
Vegetarian:
Travelling:


 

CLUB INFORMATION

IMPORTANT

Convention Registration Fees:
Early Bird – US$230 (Until 30 November 2017)
Regular Fee – US$250 (1 December 2017 to 15 January 2018)

For Bank Transfers, kindly make payment in full for the benefit of:
Account Name:   Kiwanis Malaysia – ASPAC
Address:   34 Jalan BU 11/8, Bandar Utama, 47800 Petaling Jaya, Selangor, Malaysia
Account No.: 3813 7537 19
Bank Name: Public Bank Berhad, Section 14 Branch, 46100 Petaling Jaya, Selangor, Malaysia
SWIFT Code: PBBEMYKL

Please email a copy of the online payment / bank transfer receipt to the Convention Registrar at: registrations@aspac2018.com
Handwritten on printed copy of this form will not be accepted.

 
Personal Data Protection Notice
Your personal data information collected in this form is processed, retained and used by Kiwanis Malaysia in accordance with the Personal Data Protection Act 2010. Your personal data information may be used for all purposes in relation to the processing of your registration for the conference organised by Kiwanis Malaysia and to meet any statutory obligation.