Registration
All the items starting with * must be completed.
* First Name :
* Last Name :
* Contact Number :
Gender:Male Female
* Email Address :
Address :
Town : Kuala Lumpur Subang Jaya Klang Johor Ampang Perak Sarawak Shah Alam Petaling Jaya Sabah Cheras Negeri Sembilan Pahang Kajang/Bangi/Putrajaya Terengganu Kelantan Kedah Penang Melaka Puchong Singapore Outside Malaysia & Singapore
County/State : Kuala Lumpur Selangor Johor Perak Pahang Kelantan Terengganu Perlis Kedah Pulau Pinang N. Sembilan Melaka Sabah Sarawak Singapore Other Area In Malaysia Outside Malaysia & Singapore
Country : Malaysia Singapore Indonesia Thailand Philipine India Japan Others
Postal Code :
Preferences:
1. Check in date : 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb March Apr May June July Aug Sept Oct Nov Dec 2007 2008 2009 2010
2. Check out date : 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb March Apr May June July Aug Sept Oct Nov Dec 2007 2008 2009 2010
Number of guest
3. Adult : 1 Guest 2 Guest 3 Guest 4 Guest 5 Guest 6 Guest 7 Guest 8 Guest 9 Guest 10 Guest >10 Guest
4. Child (3-12 years) : 1 Child 2 Child 3 Child 4 Child 5 Child 6 Child 7 Child 8 Child 9 Child 10 Child >10 Child None
5. Room:Houseboat Chalet
6. Promotion Code (If any):
I preferred to be contacted by:
Phone SMS Email
How did you find out about us? Please select 1.
Online Newspaper-NSTP
Magazines Mobile Money Network
Booths Travel Agents
Credit Card Flyers REAL Leaders SB Activities
Others
Remarks:
Please let us know if you have any other inquiry..
Receive 3 Free Ebooks on Hornbills, Rafflesia and Snakehead (Toman) When You Submit Your Registration!!
Home | Registration | FAQ | Contact
temenggor.com | Email: info@temenggor.com
Internet Marketing by: www.3clickers.com