REPLY LETTER

To:

Muhammad Nasri Bin Abdul Halim

Treasurer,
Sousday Kampuchea 2015,
Sekretariat Rakan Muda (SRM),
Universiti Teknologi PETRONAS,
32610 Tronoh, Perak.

Contact Number : 014-5195452

Email : Nasriry@gmail.com

_____________________________________ INSTRUCTIONS ______________________________________

1. Select the appropriate box with respect to your sponsorship, payment option.
2. Fill in your contacts details, sign and date the form.
3. Email the complete form to the email address above

4. SPONSORSHIP OPTION

Diamond Package (RM 2000 & above) Silver Package (below RM 500)

Platinum Package (RM 1000 -RM 1999) Merchandise (please specify .)

Gold Package (RM500-RM 999)

5. PAYMENT OPTION

Bank name : CIMB Bank

Account Name: Badarolzaman Ramli
Account No. : 7029367106

Cheque
Recipient/ Pay to: Sekretariat Rakan Muda Universiti Teknologi PETRONAS.
.
AMOUNT:.
6. CONTACTS DETAILS

Company name: .
Company address: .
.
.
Contacts person: .
Tel No: .
Fax No: .
Email address: . Official Stamp
Business Field: .

________________ Date:_____________________
Name:
Position: