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SIY Mindfulness Program (10-11 November 2017) Registration Form

Venue Address: Advanced Global Institute of Learning Excellence (AGILE), B3-903A, Block B3 Level 9, Leisure Commerce Square, No. 9 Jalan PJS 8/9, 46150 Petaling Jaya, Selangor Darul Ehsan.
Location Map: https://goo.gl/maps/N3DVWCAwRNC2
Drive here with Waze: https://waze.to/lr/hw2838301k

Contact us at (+60) 3 7872 9408 or agile@taylors.edu.my

Our website: http://agile.taylors.edu.my

Training organised by:
Advanced Global Institute of Learning Excellence (AGILE)
(A member of Taylor's Education Group)

Email address *
Title *
Suffix
(Optional)
FIRST NAME *
Your answer
LAST NAME *
Your answer
EMAIL *
Your answer
CONTACT NUMBER *
Your answer
INSTITUTION/ORGANISATION *
Your answer
BILLING ADDRESS *
Your answer
Dietary restrictions *
For half-day training, light refreshments will be provided. For full day training, breakfast, lunch and tea will be provided.
Additional Remarks
E.g.: Special needs, food allergies, etc.
Your answer
What is your role in the organisation? *
Required
How did you know about this programme? *
Enter Promo Code (if applicable)
Your answer
I understand that I will have to make payment 2 weeks prior to the event date. *
Required
Payment Instruction
Step 1: You will receive an invoice from Taylor's Education Sdn Bhd
Step 2: Make payment via:
(a) Cheque payable to "Taylor's Education Sdn Bhd"
(b) Bank in/Cash/Online Tele-transfer to:
Bank Name: AMBANK (M) BERHAD
Account No: 254-2012000539
Account Name: TAYLOR'S EDUCATION SDN BHD
SWIFT Code: arbkmykl
Step 3: Email/Fax payment receipt to agile@taylors.edu.my
Step 4: An official receipt will be issued within 2 weeks
I acknowledge that I have read and agree to the above Terms and Conditions. *
Required
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