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MR.

DON CLASSIC
GENTING INTERNATIONAL CONVENTION CENTRE

TICKET PERSONAL INFORMATION


1. 2. 3. 4. 5.

NAME GENDER IC/PASSPORT NO. CITIZEN ADDRESS

6. 7.

PHONE NO. E-MAIL TABLE Quantity

VVVIP Table (RM1000/10 person), (RM1250 after April 8th 2012) Normal Table (RM700/10 person), (RM850 after April 8th 2012) Single, Mixed Table (RM70)

TOTAL (RM)
Please sent/fax complete form with payment via telegraph transfer/money draft/cheque made payable to KELAB KECERGASAN INSAN to No.29, Jalan Taming Permai 1, Kawasan Perniagaan Taming Permai, 43300 Balakong, Selangor. Phone/Fax: +603 8945 9070 .For more info contact Buff at +6012 7707 360 or Ayob at +6016 9292 566 Code attire: Formal

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