NISMOCLUB & Friends: 13th Family Day 2017
Kalumpang Selangor :: 6 OCT 2017 - 8 OCT 2017
Application Due Date:
11.59pm, 8 September 2017
Theme: Back to Nature
Tentative programme. Subject to change
Applicant Name
Your answer
Your answer
Mobile Phone Number
Your answer
Your answer
NISMOCLUB Membership
Packages Option (Choose only one)
Single (Quad Sharing)
2 Adults (Twin Sharing)
2 Adults 1 Kid (Family)
2 Adults 2 Kids (Family)
2 Adults 3 Kids (Family)
3 Days 2 Nites + 5 Meals incl. BBQ Dinner
2 Days 1 Nite + 3 Meals incl. BBQ Dinner
BBQ Dinner Only
If "Others", please state:
Your answer
Please proceed to next section for t-shirts ordering form.
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