To: ACCCIM Secretariat
Fax: 03-42603080 / Email: acccim@acccim.org.my
Registration Form
Unleash The Talents Within
A Forum For Retired Executive & Professional
: Saturday, 1st December 2012
: 8:30am – 1:00pm
: The Associated Chinese Chambers of Commerce and Industry of Malaysia
(ACCCIM)
6th Floor, Wisma Chinese Chamber
258, Jalan Ampang
50450 Kuala Lumpur
Tel
: 03-4260 3090 / 3091
Fax
: 03-4260 3080
Medium
: English
Admission Fee : RM80 per person (including an inspiring book)
Refreshment will be served at 8.30am
Date
Time
Venue
Name:
Company name:
Address:
Tel:
Fax:
Email:
Payment should be made payable to “The Associated Chinese Chambers of Commerce and Industry
of Malaysia”.
Alternatively, the amount could be banked into ACCCIM account and FAX the bank-in receipt (Attn:
Account Department) to ACCCIM for record. Account details:- PUBLIC BANK Berhad A/C:
3149266331
(KLSCCCI)