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NCSM ‘Klang Valley participants: Pre-register OR hand in form ‘Outstation participants: Fs:to [03 ~ 2598-300 ' The National €ancer Society Malaysia INCSH erereiaay ‘ a areqiteed tare apt charity body extabishedin i 1944, is thar cancer-related NGO sn Malays and 1 ‘the only charity body that provides an extensive range-at PARTICIPATION REGISTRATION (RM 15 / participant) ‘ ‘cancer services, treatment and support fr people ‘ affected by eancer: I. through your genavoeity that makes cur work possibte, You matter! Danie to wesw ache resi an ar Ey Wan on PERSONAL DETAILS ' 1 SonpnayChusan lw {tyr ane it ove 8 al ' seyreaiteas Gary Wend ‘Team/Organisation/Name Indicate T-shirt size ond quantity a Os Om Om Team leader/Gontact person Buy NOW {Teta aoe 1676 [Fk th else ne fae ‘ | Ganesr Treatment Centre tuminaria set x [_]= on CC | Cancer ireatetent-ratiotherapy, brachytherapy, ris o a Laminaria tand sod bo aa ' alu [_Jrt coupons Amo x AM | Mann, 8am. FPL is acaahless entail tramachor are coupon bel ‘ | Muctear Medicine Centre RENT Icarosie is imited nd on fest -cm irs-sarve bai i cerhermnon pe! ancor diaghesis «to check cancer via gamma camera {sam fd pm [eampiog ent rsa x(__J-nw (+) nt (Sra ee tas [Jearpscaceconiy ruse x{_]-mu[ +) a Womens Cancer Oeecton Cane soni Sina 1) | Boatrereonyadailennmasyion Ulric pp FUNDRAISING t Dear: e Nor F1i.:3m-48 pm Tek eee Deveetrepecatn (Ct Nant CO rreesecarassonen [] ec a Resource Als aie a —<— rs) | Chee inarmation and eownseting- rary, ternative Sorsst Received by ’ therapy, Support group, activiies Amount aected AM [ } Frecrasdty ( | MOMFRetom-t 0pm ; ss e905 2698, ()etneasenatin a0 nats sore Rar ened a Hatem Tae 7s capcuess een uate kt TOTAL AMOUNT cs poy a ann rtm aN a mee ol anonym mw

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