11TH MALAYSIAN ROAD CONFERENCE & EXHIBITION 2022

• INVENTION & INNOVATION EXHIBITION (MRC-IIE 2022)

“TOWARDS RESILIENT ROAD INFRASTRUCTURE”
11 - 13 October 2022 | World Trade Centre, Kuala Lumpur, Malaysia
Yes! I / we wish to confirm my / our participation in the exhibition.
EXHIBITION REGISTRATION FORM
1. Please fill in the preferred numbers of booth(s)
Type of Booth Booth(s) No.
Standard
Raw Space
* Booth(s) / raw space will be booked based on a first come first served basis by the Organising Committee and 50% deposit/ full payment.

2. Exhibitor’s Details
2.1 Exhibitor’s Company Name

2.2 Person In Charge (Dato’/Datin/Ir/Dr/Mr/Mrs/Ms)

2.3 Designation

2.4 Address

2.5 Telephone 2.6 Facsmile 2.7 Email

3. Methods of Payment
A) Bank Transfer
Please remit the amount in Malaysian Ringgit (RM) via by bank draft or cheque to :-
Account Name Pertubuhan Kejuruteraan Jalan Malaysia
Malayan Banking Berhad (Maybank)
62-66, Jalan SS 21 / 35
Bank Name 47400 Petaling Jaya
Selangor Darul Ehsan
MALAYSIA
Account No. 5641 9156 8534
SWIFT Code MBBEMYKL

B) Cheque
Payment in Ringgit Malaysia (RM) by bank draft or cheque must be made payable to Pertubuhan Kejuruteraan Jalan Malaysia.
I/we enclose herewith cheque no:......................................................................dated:....................................................... (dd/mm/yy) for
Ringgit Malaysia (RM)..........................……………........................………………….in favor of Pertubuhan Kejuruteraan Jalan Malaysia as
for the 50% deposit/ full payment.

4. Form & Payment Submission

You may scan/email/ fax the completed form and a copy of bank draft/ cheque to:
(Email : rosmah@ream.org.my / exhibition@11mrc.com or Fax : +603-5513 6523)

5. Cancellation Policy
Any cancellation should be sent in writing to the Registration Committee as addressed below or via email exhibition@11mrc.com
• Cancellation received on or before 15 May 2022 : 90% refund of amount paid
• Cancellation received between 16 May - 14 September 2022 : 75% refund of amount paid
• Cancellation received on or after 15 September 2022 : No refunds

6. Contact Person
Rosmah binti Marhamdan
Road Engineering Association Of Malaysia (REAM)
46A, Jalan Bola Tampar 13/14,Section 13,
40100 Shah Alam, Selangor, Malaysia

Tel No: +603-5513 6521 / +603-5513 6522

Email: rosmah@ream.org.my

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Signature and official company stamp Date (dd/mm/yy)