CONFIRMATION TO PARTICIPATE
SDARA ANNUAL GOLF 2009
STAFFIELD COUNTRY RESORT, MANTIN, NS
SUNDAY, 2^ND AUGUST 2009
TEE-OFF: 1330 HOURS

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To: Sdara Wan Ismail Wan Hassan
Fax: 03 – 5882 3549
Email: wanismail.wh@fukuda.com.my

NAME:……………………………..……………………………………………………

YEAR IN SDAR: FROM………………………………. TO……………….………….

HANDICAP:…………………CLUB:……………..……………………………………

HANDPHONE:……………………….…… EMAIL:……………..……………………

OFFICE PHONE:…………………………. .FAX:………….…………………………..

PAYMENT: SHALL BE MADE TO “KELAB GOLF SDARA”.

AMOUNT: RM……………………………..DATE: ……………………………………

CIMB ACCOUNT NO: 0514-0004752-054

PLEASE FAX THE RECEIPT TO 03 – 5882 3549 OR EMAIL TO THE ABOVE.

No.25 Taman Desa Duranta, Jalan Paroi-Senawang 70450 Seremban Negeri Sembilan Darul Khusus 

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