The Amazing 'A' Star Student, Special School Holiday Seminar
Primary Student Session: 21st November 2008, 9am - 12noon
Secondary Student Session: 28th November 2008, 9am - 12noon

Parents' details
Name: Hp no: Email:
Name: Hp no: Email:

Participants' details - Please tick where applicable
Name: Primary Secondary Parent/Guardian
Name: Primary Secondary Parent/Guardian
Name: Primary Secondary Parent/Guardian
Name: Primary Secondary Parent/Guardian
Name: Primary Secondary Parent/Guardian
Name: Primary Secondary Parent/Guardian
Name: Primary Secondary Parent/Guardian
Note: Primary school students must be accompanied by a parent/guardian

Total number of participants, including parents/guardians if any @ RM50 each participant, early-bird price
Payment details
I wish to pay through Bank Transfer Premier Horizon office
the total amount of RM


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Payment can be made to PREMIER HORIZON (M) SDN BHD CIMB Bank A/C 14200005431058.
Please fax proof of payment to 03 41422901
For payment at Premier Horizon office, our address is:
32-3 Jalan 1/27F KLSC Wangsa Maju 53300 KL (near Carrefour Wangsa Maju)
Tel: 03 41422911
Operating hours: 9am - 5pm Monday to Friday