IW December '17 Participant Registration Form
The next Introduction Weekend is from 15-17 December 2017.

By registering your interest in Raleigh KL's upcoming IWs, we will make sure that you will receive further information as and when we have them ready. Thank you very much for your support and enthusiasm.

Please note that this registration form is not the complete registration and does not pertain to early bird prices. Early bird price is only applicable to participants who submit the full application form by 5th November 2017.

Hello! My name is... *
Your answer
I have been on this earth for... *
E.g. 17 years.
Your answer
My contact number is... *
01X-XXX-XXXX
Your answer
And if you want to send me an email, you may send it to... *
Your answer
How did you know about this event?
Are you interested in joining a Raleigh expedition?
Lastly, what are you expecting to gain from joining this upcoming Introduction Weekend?
Your answer
That is all for now! Thank you for taking your time and we can't wait to see you soon.
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