Please print this form, fill it in and sent it to the organiser:


LABUAN
TRADITIONAL BOAT RACE 2005
LABUAN INTERNATIONAL SEA CHALLENGES
16
17 APRIL 2005  

ENTRY FORM
(Please send this Entry Form before
22 March 2005 )

      1.   Name Of Traditional Boat Team :................................................................................................ ........... 

2.   Country / State :............................................................................................................................. ...... 

3.   Registration (Entry) Fees : ( RM100.00 )

     4.    Date Of Arrival In Labuan :...............................Flight No. / Ferry   : ..........................................................
                                                                               
                                                                                 Flight / Ferry Time  :.........................................................

     5.    Date Of Departure From Labuan :...................... Flight No. / Ferry   :..........................................................

                                                                                  Flight / Ferry Time :..........................................................

     6.    Accommodation arrangement needed :   .................... Yes     .................. No ( Please Tick )  

7.   Registration fee RM100 should be made by bank drafts or check payable to     

Account Name :   LABUAN TOURISM ACTION COUNCIL

Account No      : 1501-0010237-05-6

Bank                 :  BUMIPUTRA COMMERCE BERHAD

        8     Contact person :

           Name                 :.............................................................................................................................

           Position              :.............................................................................................................................

            Address              :............................................................................................................................

            Tel                      :............................................................................................................................

            Fax                     :............................................................................................................................

            Email                  :............................................................................................................................

            Date                    :............................................................................................................................

 10.            Please send this entry form before 22 March 2005 to :

                 Labuan Tourism Action Council
     Labuan International Sea Sports Complex,
P.O.Box 235, 87008 Labuan, Malaysia
       Tel: 087 422622  Fax: 087 419622