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["TRAC YOUNG ADULTS CONVENTION 2009"]
["\"In Christ, Together, Out There\""]
["29th to 31st August 2009 (Saturday to Monday)"]
["Location : Empress Hotel, Sepang"]
[]
["Note: One participant per form. If both husband & wife are signing up as participants, please fill in 2 separate forms"]
["           and kindly fill in your spouse's name below to indicate relationship."]
[null,"  For children's registration, please only indicate in either one of the parents' form and NOT BOTH."]
[]
["PERSONAL AND CHURCH DETAILS"]
[]
["Name Per IC",null,":",{"$nulls":10},"Spouse Name",{"$nulls":5},":"]
[]
["I.C. No",null,":",{"$nulls":10},"Age",{"$nulls":5},":",{"$nulls":6},"Gender",null,":  F / M"]
[]
["H/P No",null,":",{"$nulls":10},"Home Tel No",{"$nulls":5},":"]
[]
["Email Add",null,":",{"$nulls":10},"Profession",{"$nulls":5},":"]
[]
["Address",null,":"]
[]
[]
["Church ",null,":"]
[]
["CONVENTION DETAILS"]
[]
["Please kindly select your preference :"]
[]
[null,"Twin Sharing",null,null,":","RM 280 nett per person **",{"$nulls":11},"=","RM"]
[]
["To share with",null,":"]
[]
[null,"Single Room",null,null,":","RM 360 nett per person **",{"$nulls":11},"=","RM"]
[]
[null,"Cost Per Child",null,null,":","RM 170 per child",{"$nulls":11},"=","RM"]
[null,"(Only applicable for children age between 4 - 11 yrs of age ^^)"]
[]
["TOTAL COST",{"$nulls":16},"=","RM"]
[]
[null,"Require babysitting services",{"$nulls":8},"No of Children",{"$nulls":6},":"]
[null,"(Between 3 - 12 years of age)"]
["No","Child Name",{"$nulls":8},"Age"]
[1]
[2]
[3]
[]
["**","Inc accomodation and meals"]
["^^","Children 12 years old and above will be categorized as adult participants"]
["#","A map and brief directions will be provided upon request"]
[]
["PAYMENT MODE"]
[]
[null,"Cheque Payment",{"$nulls":6},"Cheque/Bank No:"]
[]
["For cheque payment, please indicate cheque payable to \"Area Exec. Council of Methodist Church in Malaysia\" and include your name, "]
["contact number and 'TRAC YA Convention 2009' behind the cheque. Please include a charge of 0.03% of the cheque total value for "]
["outstation cheque."]
[]
[null,"Cash Payment"]
[]
["Please deposit the cash into HSBC account No: 302-029772-028 and fax the remittance slip to 03-7954 1788 attention to Ms. Guat Cheng. "]
["Please state your name, contact number and ' TRAC YA Convention 2009' on the remittance slip."]
[]
["Please send completed Registration Form with payment to TRAC Office (re: TRAC YA Convention 2009) by attention to"]
["Matilda Renganayagee at TRAC Office, 2 Jalan 5/39, 46000 Petaling Jaya, Selangor Darul Ehsan."]
[]
[]
["Registration Closes on 31 July 2009, 5:00 p.m."]