Purchase and distribution of coupons to the Assunta Carnival 
(Coupons are priced at only RM5 per book)
Quantity of coupons: x RM5.00 = RM
 

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. a

By  Cheque

Print this form and send with cheque made payable to Persatuan Alumni Assunta to:  Assunta Carvival 2001, Assunta Alumni, PO Box 6603 Kampung Tunku 47308 Petaling Jaya, Selangor Darul Ehsan, Malaysia. -

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.  Enquiries: teammates@assuntaalumni.com
5.  Need to talk? Call Peggy Liu (03) 704 5748, (012) 654 7933 or Jane Ng (03) 2283 3318, (013) 350 7235

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