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Registration

Name (Mr/Mrs/Ms): _____________________________________

Address: _____________________________________________

____________________________________________________

Tel (h) _____________ (o) ______________ e-mail ____________

Church: ___________________________ [] Cheque [] Money order

Send complete registration and your deposit of RM50

Payable to:
Uncle Button Clown Supplies
20 Jalan Bukit Indah 2/1
Taman Bukit Indah
68000 Ampang
SELANGOR

Contact:
Tel: 03-42803266
Fax: 03-42803277

E-mail: button@tm.net.my

 


Closing date: 28.09.2001

Co-organizer: Picture This & That