Pada September 2012 , bersempena dengan Ekspo AGRARIAN 2012, satu Kejohanan Cub-Cross akan diadakan di litar Motor-Cross Antarabangsa Kodiang, Kedah. Kami menjemput semua peminat motor cross serta ANAK-ANAK JANTAN Berjiwa Tegar dan Wanita-Wanita yang berjiwa Extreme untuk bersama-sama kami cuba menakluki litar Motor-Cross KODIANG.
On 1st September 2012, we are holding an AGRARIAN 2012 CUB-CROSS CHALLENGE. It will be held on the KODIANG INTERNATIONAL MOTOR-CROSS Circuit. We would like to invite all Motorsport enthusiast to join us and BE CHALLENGED.
Forms & Payment Method
Registration Forms & Payment Method
1)Bank in to account below : Registration fee : RM100/person
Hong Leong Islamic Bank Berhad Accnt. No: 1100 1011 815
Abd Shukor & Sons Sdn. Bhd. Fax: +604-4246664
2)Email your registration form and bank slip to email address Below or Fax :
- Shahrel Nizam +6019 5900868
- Ahmad +6013 4339069
- rijalos@hotmail.com +6012 6694217 (Abd Shukor & Sons Sdn. Bhd.)
Details Required:
Individual Form:
Full Name as Per I/C :............................................
Nationality : ...........................................
Passport or I/C No :...........................................
Contact Number :............................................
Emergency Contacts : ...........................................
Address :..................................................................
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
Category : Open
Bank slip tracking number:..........................................
Time :..........................................
Date : .........................................
Sponsored/Group/Team Form:
Team/Group Name :..................................................................
Address :..................................................................
......................................................................................................
......................................................................................................
......................................................................................................
......................................................................................................
Member's Name I/C
..............................................
............................................
..............................................
............................................
.............................................
............................................
.............................................
............................................
.............................................
............................................
Bank slip tracking number:..........................................
Time :..........................................
Date : .........................................
* Please copy this form and paste it in word document and fill it.
3) Please Check our name list in 24hours
If don't have your name or any mistake let us know.
No comments:
Post a Comment