ASSUNTA - Return of the Thinking Pool

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RETURN OF THE THINKING POOL!
by Assunta Alumni Dateline: 30 June 2001

M A K E A P L E D G E

YES! I'd like to be a part of the RETURN OF THE THINKING POOL!

Name
Address
Postcode/City
State
Country
E-mail
Phone
Mobile
Fax

CONTRIBUTION TO THE CONSTRUCTION OF THE THINKING POOL

PAYMENT OPTIONS

By Bank Transfer

Head to the nearest Public Bank and deposit into our account:
A/c Name: Persatuan Alumni Assunta
Current A/c Number: 3109134427 (SS2 PJ Branch)
1. Double-check that you've paid into the right account when the teller hands back your copy.
2. On the bank-in slip, write your name and contact numbers and fax us at 603-7044484 or snailmail back to the address below.
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By Cheque

Print this form and send with cheque made payable to Persatuan Alumni Assunta to:
Carmel Dharamaraj, Thinking Pool Champion
Assunta Alumni, PO Box 6603 Kampung Tunku, 47308 Petaling Jaya, Selangor Darul Ehsan, Malaysia.
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Bank Transfer Cheque No. for RM
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A d d i t i o n a l r e m a r k s / q u e s t i o n s ?

A L L S E T ? :)

Gentle Reminder:
1. Please ensure your contact numbers and email address above are correct.
2. Please print a copy of this page to be snailmailed to Assunta Alumni with payment.
3. Click SUBMIT button below once (ensure you are online).
4. Need clarification? Contact Thinking Pool Champion Carmel Dharamaraj
Tel: (012) 206 8800 Email:teammates@AssuntaAlumni.com

If the above information is correct,
If you wish to start over,

| RETURN OF THE THINKING POOL | UN ROOM OF QUIET | MAKE A PLEDGE |

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