AIKM - Registration Form

I would like to register for the following event(s):

>
	Date	:
	Time	:
	Venue	:
	Fee	:
	Remarks	:

Number of participants:

Please fill up the form below.

(Fields marked with an asterisk * are required.)


*Salutation			*First Name			*Last Name
*Mailing Address						*Country
						If others, please specify
*E-mail Address						Company Name
*Contact No.						Fax No.

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Last modified: 11/19/09