

Name :
College
/ University :
Contact
Number :
Email
Address :
Accommodation
Options :
(Vistana Hotel
& USM Guest House)
Room
Type :
Number
of People :
Check
In Time :
Check
Out Time :
Arrival
Day :
** Please be informed that late registration (after 10th March 2007, 4pm) will not be entertained.
Click File > Print (or CTRL + P) to print
the form and fill in the appropriate details
for room reservation. Black & white form
is accepted. Kindly return it to:
For enquiries, please feel free to contact us.