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Terimee Christmas Party !

Registration Form Time 1203 7.00 Date: December 03 (7pm onwards) Venue/ :Terimee Berjaya Times Square Outlet, 6th Floor / Agenda Time 7.00pm - 8.00pm Details Customers registration / Karaoke Session / OK Appetizer to be served / Dinner to be served / Slideshow of Terimee success stories / Customers sharing on their slimming experience / Free make-up session / Free photography for customers / Karaoke Session / OK Dinner continue to be served / Slideshow of Terimee success stories / Dessert Time / Stage Games Q&A / Prize presentation by Ms Teo / Ms Teo 10 Group photo /

8.00pm 8.30pm - 9.30pm

9.30pm - 10.00pm 10.00pm-10.30pm

10.30pm - 11.00pm Continue Karaoke Session / OK Thank you to all Terimee customers / 11.00pm Good Night / * Subject to change without prior notice. * Terms and conditions apply. ... Full name as in IC/ Passport / : New IC/ Passport no. / : Tel (Home) : Marital Status : Single Married 1Name of the accompany person / : New IC no of the accompany person / : 2Name of the accompany person / : New IC no of the accompany person / : Payment Amount Receipt No (Mobile) : Customer A/C No: Customer Copy

Applicant Name

Signature

Date

To be filled in by consultant only : Name of Consultant : _________________________ Branch : ________________ OFFICE USE ONLY Name of Servicing Staff ( Office ) : ____________________________ Date of confirm detail to customer : ____________________ Name of Branch staff (Name): __________________________ Date:___________________ OFFICE COPY

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