Miea Johor Convention 2009 Registration Form

MALAYSIAN INSTITUTE OF ESTATE AGENTS JOHOR BRANCH No. 8, Jalan Dedap 17, Taman Johor Jaya, 81100 Johor Bahru, Johor, Malaysia. Tel : 607-3558877 Fax : 607-3550033 / 3535160 Email : [email protected] / [email protected]

MIEA JOHOR CONVENTION 2009 : 31st October & 01st November, 2009 (Sat & Sun) : The Puteri Pacific Hotel, Johor Bahru, Johor, Malaysia

Date Venue

(Permata Ballroom)

Theme Joint Organiser Main Sponsor Corporate Sponsor

: ISKANDAR MALAYSIA – THE RISE OF A NEW METROPOLIS : Institute of Estate Agents Singapore (IEA) : Johor State Government : Iskandar Investment Berhad

Fees : Registered Estate Agents / Registered Valuers Public

@ RM400.00 @ RM200.00

* Fellowship Dinner (31st October, 2009)

@ RM100.00 (Optional)

REGISTRATION FORM Delegates Details Name : Mr. / Ms. / Mdm. Preferred Name on Tag : OM No. :

AF No. :

CREN No. :

E. No. :

Name of Company :

Position :

Address :

Tel No. :

Fax No. : _____________________

H/P No. :

Email Address :

Payment Details : Cheque No. :

Bank:

Registration Fees RM 400.00 / 200.00 * Fellowship Dinner RM -------------------------------TOTAL RM / =================== Signature :

Date :

Company Stamp :

Please tick below, if you wish to visit the Johor New Administrative Centre and Puteri Harbour on 2-11-09 at 9.00 a.m. : I wish to register for the 3rd day i.e. Monday, 2nd November 2009 for the side visit to the Johor New Administrative Centre and Puteri Harbour at Nusajaya, Gelang Patah, Johor. Time : 9.00 a.m. – 12.00 p.m. Pick up : Lobby, The Puteri Pacific Hotel, Johor Bahru Note: Payment should be made via cheque or bank draft to:MALAYSIAN INSTITUTE OF ESTATE AGENTS RHB Bank Berhad Account No. 2010-6200-0432-62 Accommodation Arrangement: The Puteri Pacific Hotel, Johor Bahru Jalan Abdullah Ibrahim, 80730, Johor Bahru, Johor, Malaysia Princess Deluxe Room ( with 2 pax breakfast ) @ RM230 nett Contact Person: Ms. Shariffah Alia Syed Abdul Rahman Tel: 607- 2199999 Fax: 607- 2235522

10 CPD HOURS APPROVED – Board of Valuers, Appraisers & Estate Agents Malaysia