Registration Form

Venue I

Venue: Hotel Putra KL (nearby Hospital Pusrawi), Jalan Tun Razak, K.L.

Dates: 05-06 November 2011 (Saturday & Sunday)

Venue II

Venue: Residence Resort, Paka, Terengganu

Dates: 18-19 November 2011 (Jumaat & Sabtu)

Venue III

Venue: Innovation & Commercialization Center (ICC), UTM Johor.

Dates: 12-13 November 2011 (Jumaat & Sabtu)

Step 1 : Payment Details

Select Date & Venue

i) 05-06 November 2011 @ Hotel Putra, KL

ii) 18-19 November 2011 @ Residence Resort, Paka, Terengganu

iii) 12-13 November 2011 @ ICC, UTM Johor

Step 2 : Payment Details

Select your right package:

Step 3 : Payment Options

3.1) Credit Card/Debit Card

We use Paypal as our payment processor for highly secure transaction. Just click "Buy Now" button below to make a payment.

Choose your product:

One month before the workshop dates RM1,680.00 3 weeks before the workshop dates RM1,780.00 2 weeks before the workshop dates RM1,880.00 1 week before the workshop dates RM1,980.00

3.2) Bank Transfer/ATM/Cash deposit

Please kindly make the correct payment amount (according to the date above)  into one of the account below using Fund Transfer or ATM Transfer or Cash Deposit:

Please insert the following email adress "fish4wealth2010@gmail.com" for online banking reference.

IMPORTANT: Please ensure you always keep your transaction record (receipt if you do cash deposit) or print screen / pdf print the transaction details for future reference.

INSTRUCTION: If you use online transaction (Fund Transfer), please COPY the transaction details and email it to us as soon as payment have been made.

Please kindly ensure that you make verification of your payment to us. You can do that by sending us your order detail and proof of your payment to "fish4wealth2010@gmail.com" so that we can trace and verify your payment and order. 

REMINDER : Please fill the following form AFTER you have make payment only.

Payment Verification Form
Please kindly complete the form using real and valid information only. Any false information is prohibited. Your IP is recorded for security purpose. * indicates information that is COMPULSORY to be filled.
Your full name	:	*
Your email address	:	*
Mobile No.	:	*
Active Mailing Address (If required)	:
Product	:	One month before the workshop dates RM1680 3 weeks before the workshop dates RM1780 2 weeks before the workshop dates RM1880 1 week before the workshop dates RM1980 Fish4Wealth Special Fees *
Payment Method	:	Please Choose Bank - Maybank Bank - CIMB Paypal *
Date of Payment	:	*
Time of Payment	:	*
Transaction Proof (please copy or write it here. Alternatively, scan the receipt and email to us).	:	*
Select Date & Venue: i) 05-06 November 2011 @ Hotel Putra, KL ii) 18-19 November 2011 @ Residence Resort, Paka, Terengganu iii) 12-13 November 2011 @ ICC, UTM Johor.	:
Copy Security Code	:	=

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