KODIANG: AGRARIAN 2012 EXTREME MOUNTAIN BIKE JAMBOREE

KODIANG: AGRARIAN 2012 EXTREME MOUNTAIN BIKE JAMBOREE
AGRARIAN 2012 EXTREME MOUNTAIN BIKE JAMBOREE

Monday, June 11, 2012

Forms & Payment Method


Registration Forms & Payment Method

1)Bank in to account below : Registration fee :  RM50/person
  

Hong Leong Islamic Bank Berhad  Accnt. No: 1100 1011 815

Abd Shukor & Sons Sdn. Bhd.         Fax: +604-4246664




2)Email your registration form and bank slip to email address Below or Fax :
  • Shaik Mustafa (mamu)  - 016 4133974 (Tok Bidan MTB Club)
  • bagok.jr@gmail.com     - 012 5539769 (Zaidi - Tok Bidan MTB Club)
  • rijalos@hotmail.com    - 012 6694217  (Abd Shukor & Sons Sdn. Bhd.)


Details Required: 


Individual Form:
Full Name as Per I/C        :............................................
Passport or I/C No            :...........................................
Contact Number               :............................................
Emergency Contacts       : ...........................................
Address                     :..................................................................
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................

T-Shirt Sizes                     : S/M/L/XL/XXL (if other size , please specified)
Category                           : Men Open/MASTER/Women OPEN
Bank slip tracking number:..........................................
Time                                  :..........................................
Date                                  : .........................................

Group/Team Form:


Group Name              :..................................................................
Address                     :..................................................................
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................


Member's Name                         I/C                                          Size               Category
..............................................    ............................................   .................     .................
..............................................    ............................................   .................     .................
.............................................     ............................................   .................     .................
.............................................     ............................................   .................     .................
.............................................     ............................................   .................     .................

(Category                           : Men Open/MASTER/Women OPEN)

Bank slip tracking number:..........................................
Time                                  :..........................................
Date                                  : .........................................

* Please copy this form and paste it in word document and fill it.


3) Please Check our name list in 24hours 
    If don't have your name or any mistake let us know.

4) Limited to 500 participant and will have the goodies ready one week before the tournament.

5) Due Date for registration : 12/08/12 (August 12,2012) (First Come First Serve Basis)


Thank You

*Please do give us feedback to ensure everyone is happy .



     
     http://agrarian2012.blogspot.com/


   
AGRARIAN 2012 KODIANG  X-MTB



    
Location of Starting point and ending point is In Front of Batu 4 Mosque. All Muslims participant will have no problem to do their Jumaat prayer after the race.

(The Expo Site is facing the Batu 4 Mosque on the other side of the road.) 



Abd Shukor & Sons Sdn. Bhd.(960663-H)
No.123B Pekan Kodiang 06100 Kodiang Kedah Darul Aman. 
Phone/Fax: +604-9251724/+604-4246664 (+6012-6694217)
 

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