【From Play Therapy, We Get Closer】Workshop
Email address *
Payment method
* ( Hong Leong Bank ) 2400 1000 342 Persatuan Life Line Malaysia
* Please email the bank confirmation slip to register.lifeline@gmail.com and kindly indicate the (workshop title, your name, contact no., payment amount & date)
* Registration will be confirmed within one- week working day upon receipt of payment
* The receipt will be distributed on the workshop day, please ensure to keep the bank confirmation slip. If you are required specific receipt, please contact us at 03-4266 6195
* Workshop will be conducted in English.

* Certificate of attendance and refreshments are provided, excluding lunch.

* Registration is confirmed upon receipt of confirmation slip.

* If you are unable to participate, the registration fee is not refundable. You may transfer your seat one week prior the workshop and notify the administrator.

* By taking part in this workshop, you grant the Life Line Association Malaysia full rights to take photography and video filming for publicity purposes.

* Life Line Association Malaysia reserves the right to modify the content at any time without prior notice.
Become Life Line Association Malaysia Life Member
* Member Fee RM200 ; Administrative Fee RM10
* Downloadable Registration Form: http://goo.gl/gZioul
Registration Information
Name ( English name to be printed on certificate) *
Your answer
Contact number *
Your answer
Age *
Your answer
Gender *
Category *
Fee *
Please provide the names of other members, if you are registered in pairs
Your answer
How did you hear about this workshop? *
* Please tick appropriate box
Please confirm that the above information is accurate as the workshop documentation will based on the given information. *
A copy of your responses will be emailed to the address you provided.
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