Sponsorship Application Form

Contact Information

Company / Organisation Name *

Contact Person *

Designation

Email Address *

Telephone / Mobile *

Company Address

City / Country

Postal Code

Company Website

Sponsorship Package

Select your package *

Diamond

RM 50k

Platinum

RM 30k

Gold

RM 15k

Silver

RM 10k

Ala Carte

RM 5k

Billing & Payment

Billing Entity / Invoice Name

Purchase Order / Reference No.

Billing Address

Payment method

Bank transfer

Cheque

Other

Authorised Signature / Company Stamp PDF, Word or image, up to 8 MB.

Date