ADWAVE 2003
Round Island Tour Form

Name......................

College / university...

Contact number.......

Date of arrival..........

.Accommodation......

.........1) Vistana Hotel .......

.........2) Anggerik Lodging..

.........3) Desasiswa. ...........

* Kindly be informed that the organizer will not be responsible for any possibilities occur during the tour.

* Kindly be informed that the organizer will not cover cost of your accomodation.

All form must be submit before 5 January 2003.

For further information, please contact:

Booi Chong Leng................016 - 459 2586 ( daeniboo@yahoo.com )

........................................................................................................................................Signature:

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