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You can register for this event...

 

2012/09/15

Registration form



Level:* Extreme ( Experienced racers) Adventure (Suitable for ..)


Team Name:

[click on the black headers to open the forms]
Team member No.1

If you are looking for a team member click here ---->
Team member No.2


Race Package *

* Required
**Required to send confirmation

         




Payment procedure:

By telegraphic transfer, ATM or bank deposit:
Bank name: KRUNG THAI BANK PUBLIC COMPANY LIMITED Nanglinchee Branch
A/C Name: Serge Henkens (River Kwai Trophy)
A/C no.: 260-0-01577-9
SWIFT CODE: KRTHTHBK
Please pay to our bank account WITHOUT DEDUCTING THE TRANSFER CHARGES

After paying in, send us a copy of your ATM or payment slip by e-mail or fax,
mentioning your [Tracking Number], and, in case of payment slip, also the time
when the payment was made.

When using any form of cyber-banking payment, make sure that the bank sends
us a copy by entering our e-mail in the appropriate field.

Please print and fill the registration form from our website

Send it back by fax or email with copy of the bank payment slip mentioning your name and the transaction number
FAX: + 66 2 7189583
Email: info@active-asia.com


By cheque:
Please print and fill the form below and send it by mail with your cheque to:

Active Management Asia Co. Ltd.
32 Seri 4 Road, Suanluang Sub-district,
Suanluang District,
Bangkok 10250 Thailand


Please make it payable to: Serge Henkens (River Kwai Trophy)




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