报名表格 Registration Form
参加者姓名
1.
(中)
(Eng)
Name of Participants 2.
(中)
(Eng)
3.
(中)
(Eng)
公司 Company:
地址 Address:
电话 Tel:
传真 Fax :
电邮 Email:
会员 Member*
所属商会 Constituent Chamber:
会员编号 Membership Number:
非会员 Non Member
付款方式 Mode of Payment
1.
支票 Cheque
(会员 Member* – RM50；非会员 Non Member – RM100)
(支票抬头致 Cheque payable to: The Associated Chinese Chambers of
Commerce and Industry of Malaysia
支票号码:
2.
银行:
直接汇入户口 Direct Bank in
[请务必将存入收据（请写上参加者或公司名称），传真或电邮至总商会秘书处，以作记录]
[Please fax/email the transaction slip (please write participant’s name or company name on the slip) to
ACCCIM Secretariat for record purpose]
户头 Account Name:
The Associated Chinese Chambers of Commerce and Industry of
Malaysia
银行 Bank:
Public Bank Berhad
账号 Account No.:
3085140315
联系人
Contact Person :
电话/ 手机
Tel/ HP:
电邮 Email:
填具报名表格连同支票/银行汇票，请寄至马来西亚中华总商会秘书处。有关询问，请联络黄秀华女士或李肖郬女士。
Kindly return the duly completed Registration Form together with cheque / bank draft to ACCCIM Secretariat. For
enquiries, please contact Mrs. Kam or Mdm. Lee Siew Cheng.
马来西亚中华总商会
The Associated Chinese Chambers of Commerce and Industry of Malaysia (ACCCIM)
6th Floor, Wisma Chinese Chamber, 258, Jalan Ampang, Kuala Lumpur.
电话 Tel：03-4260 3090 / 3091 / 3092 / 3093 / 3094 / 3095
传真 Fax：03-4260 3080
电邮 E-mail：acccim@acccim.org.my
网址：www.acccim.org.my
备注 Remark*
总商会各属会会员欲参加总商会青商大会以及总商会第 67 届常年会员代表大会，请通过所属的属会报名，以统一报名。
Members of ACCCIM Constituent Chambers who wish to attend the ACCCIM Young Entrepreneurs Conference and ACCCIM’s 67th
Annual General Meeting, kindly register through your respective Constituent Chamber to standardize registration.