Date Night @ Home Registration

Date Night @ Home Registration

Sorry. Registration offline for a few minutes…

Date Night @ Home (Virtual Programme)

Registering for the Date Night @ Home indicates that you agree to the following:

  1. Event being recorded for internal purposes.
  2. Personal information being shared on this form.
  3. Kindly note that your information is collected and protected under the Personal Data Protection Act and used only for the purpose of communicating with you.
  4. Focus on the Family Malaysia may use the Participants’ photos, digital images, in future promotional materials.

 

EVENT INFORMATION


Date : 31 October 2020 (Saturday)
Time : 8.30 pm - 10.00 pm
Venue : Online via Zoom (Meeting details will be provided upon successful registration)
Early Bird Fee : RM 40 per couple (Register by 17 October 2020)
Normal Fee : RM 50 per couple (Register from 18 October 2020 onwards)

 

PERSONAL INFORMATION


eg. Tan Zhi Lee
e.g. Peter
eg. +60123456789
eg. tanzl@gmail.com

 

SPOUSE'S PERSONAL INFORMATION


eg. Lee Siew Meng
e.g. Jane
eg. +60123456789
eg. leesm@gmail.com

 

PAYMENT INFORMATION


Note: You will receive a confirmation email after a successful payment. If you did not receive the email, please check your spam/junk folder in case it was delivered there.

RM

Payment Method:

  • Online (Credit/debit, e-wallet, online banking)

VISAMasterCardFPXBoostGrabkipleGooglePayUnionPay

  1. iPay88 is a secure online payment gateway.
  2. You will be redirected to iPay88 once you complete and submit this form.

 

REFUND POLICY


  • No refunds for any withdrawals or in cases of non-attendance.
  • Fee is non-transferable.
  • Focus on the Family Malaysia (FOFM) reserves the right to cancel or reschedule the event due to unforeseen circumstances. For cancellation of events by FOFM, fees will be refunded in full.

 

SUBSCRIBE TO US