Registration – Criterium - Cycling League Series

REGISTRATION - Criterium

Please fill your information

Registration ID

Full Name(Required)

E-mail(Required)

Contact No.(Required)

ID / IC Number(Required)

Birthday(Required)

Place of Birth(Required)

Gender(Required)

Blood Type(Required)

T-Shirt Size(Required)

Payment Method(Required)

Online Banking - FPX (Malaysian Payment Channel)

Credit / Debit Card (International Payment Channel)

Fellowship Registration Cost - Early Bird Price

Price:

Credit / Debit Card Processing Fee (5%)

Price: RM 0.00

Payment using credit / debit card will be charged additional 5% for the transaction fee.

Total to be Paid (RM)

Credit / Debit Card(Required)

Card Details

Cardholder Name

Hidden

Payment Status