California State University Alumni Malaysia Chapter Charity Night 2012 Registration Form
Date : Saturday 16th Feb 2013
Time : 8pm -12am
Venue : Tropicana Golf and Country Club, KL
Theme : Red & Grey (Color CSUChico)
Fee : To be decided.

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Full Name *
Home Address
Office Address
Mobile Number *
Email *
Facebook ID
Which batch are you? (Year of Graduation)
Batch 89 (85 to 89)
Are you coming with your spouse?
Clear selection
If you are coming with your spouse, please state his/her name
Is your spouse a Chico State alumnus?
Clear selection
Are you joining pre-dinner games?
Is your spouse will join any games too?
Clear selection
Submit
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