Registration Form
Mammalian Antibody Expression System
8th November 2018 | INFORMM, USM Health Campus, Kelantan
Name *
Your answer
Title *
Institute *
Your answer
Address *
Your answer
HP Number *
Your answer
Email Address *
Your answer
Payment method *
Account Name : USAINS TECH SERVICES SDN. BHD.
Account Number : 8006815124
Bank Name: CIMB Bank Berhad
Branch Address: PT1699, JALAN RAJA PEREMPUAN ZAINAB 2, BANDAR BARU KUBANG KERIAN, 16150 KOTA BHARU, KELANTAN


TERMS & CONDITIONS
Fee is payable to USAINS TECH SERVICES SDN. BHD.
Full payment of the above amount shall be made within thirty (30) days from the date of the Payment Advice or on the day of the event, whichever earlier.
Please scan a payment proof and send that copy to siewling@usainsgroup.com

All LO/PO must be payable to: USAINS TECH SERVICES SDN. BHD.
Please deliver LO/PO to:
Usains Tech Services Sdn. Bhd., Health Campus, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan.
Attn: Ms. Ham Siew Ling
Phone : 609-767 3801 / 012-928 9664
Email : siewling@usainsgroup.com

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service