MACGT SECRETARIAT
D7-3-1 Block D7, Pusat Perdagangan Dana 1,
Jalan PJU 1A/46, PJU 1A, 47301 Petaling Jaya,
Selangor Darul Ehsan

MACGT QUARTERLY MEETING Program

FEES:

• - RM100 for Public / Non-Members
• - RM75 for Students
• - RM35 for MACGT Members

Please include a copy of the bank in slip and a copy of the cheque issued as proof of payment. The confirmation of participant is only VALID upon successful registration and payment. All entries are not refundable

Deadline for registration: 10th December 2012
Account no : 512978003724 (MBB) Payable: Malaysia Association for Cell and Gene Therapy
As soon as payment has been made, please complete this registration form and fax (03-78801919) it to together with the copy of the deposit slip including a copy of the cheque

If you should have problems registering, please contact MACGT Secretariat (MACGT2012@gmail.com)
Payment Information: Registration forms must be accompanied by full payment in order to be processed. Confirmation: Please allow 3 days for e-mailed confirmation of your registration.