REGISTRATION

REGISTRATION FOR MPK PARAMOTOR PRESISION INTERNATIONAL CHAMPIONSHIP 2013

Please email details to: paramotor@myjaring.net or msiappdg@streamyx.com

FIRST NAME:
FAMILY NAME:
EMAIL:
COUNTRY:

ARRIVAL BY CAR:
DATE: TIME:
 
ARRIVAL FLIGHT NUMBER:
DATE : TIME :

DEPARTURE FLIGHT NUMBER:
DATE: TIME:

ROOM REQUIRED: SINGLE/DOUBLE/TRIPLE *
OFFICIAL HOTEL: GM CITY HOTEL, BANDAR BOTANIC, KLANG

ROOM PREFERRED SHARING WITH: ………………………………………………………………………

FUEL ARRANGMENT: YES/ NO*

* (STRIKE OUT WHICHEVER NOT APPLICABLE)