Billy Kueek's Personal Development Company | Billy Kueek International |

NLP Practitioner Certification Registration Form

Course Information

Date: Wednesday, 25th August to Sunday,29th August 2010
Time: Practice Session (8.30am to 10.00am) Workshop (10.00am to 8.00pm)
Venue: Boulevard hotel, Kuala Lumpur, Malaysia Click here for map.
Investment: Normal Price S$2,988 / RM7,288

*If you are from a country other than Singapore and Malaysia, and would like to know the investment amount in your local currency, kindly email to nlp@BillyKueek.com.

Click here to download brochure

Applicant Details

Name *

Birth Date

Gender *

Job Title *

Company *

Office No. *

Fax No.

Mobile No. *

Email *

Address

Contry *

Preferred Mode of Payment

I want to Pay with *

Credit Card

Name on Card

Card No.

Issuing Bank

Last 3 Digit/CCV

Expiry Date

Card Type

Amount: S$2,988/ RM7,288
NOTE: www.MCPayment.com is the authorised credit card processing company for Billy Kueek International Pte. Ltd.
NOTE: www.ipay88.com is the authorised credit card processing company for Billy Kueek International Sdn. Bhd.

Cheque

Cheque No.

NOTE: Please make cheque payable to Billy Kueek International Pte. Ltd. (Singapore) or Billy Kueek International Sdn Bhd (Malaysia)

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