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<title>Payment</title>

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<body background="#ffffff" >
<div align="center">

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              <p class="MsoNormal" align="center" style="text-align:center">

<img border="0" src="add_maths_banner.jpg">
                </span></font><b style="mso-bidi-font-weight: normal; font-family: Verdana"><span style="font-family: Verdana; mso-bidi-font-weight: normal"><font size="5"> <br>
</font></span></b><b><font color="#000000" face="Georgia" size="4">
           <o:p>
              <u><i>  Membership Registration for 2009 </i></u>&nbsp;:</o:p></font></b><font color="#cc0000" size="4" face="Verdana" style="font-size: 13pt"><b><font color="#0000FF" face="Comic Sans MS" size="5" style="font-size: 13pt"> 
                                
                              <u>
                                
                              </u></font></b><font color="#0000FF" size="5" face="Georgia" style="font-size: 13pt">
								</font>
        </font>
        		</p></H2>
<p align="center"><font size="4" face="Verdana">for RM30.00 (One -Time-Payment )</FONT>
 <body bgcolor="#FFFFFF" text="#000000" >
<table bgcolor="#ffffff" cellSpacing=0 cellPadding=0 width="600" align="center" border=0>
	<tr><td align="right">
	<table>
<tr>
    <td align="right">

              <b>
				<o:p>
              <p class="MsoNormal" align="center">
				<font color="#000000" face="Georgia" size="4">
           	<br>
              Please follow the following steps :</font>
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              </o:p><font color="#0000FF" size="6" face="verdana">


			  <o:p>
          	<span style="mso-bidi-font-weight:normal">

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				<p class="MsoNormal" align="center">
				<span style="background-color: #FFFF00">
            	<font face="Verdana" size="4" color="#FF0000">Step # 1 :</font></span><font face="Georgia" size="4" color="#0000FF"><br>
            </font><font face="Georgia" size="4" color="#0000FF">Make Payment to my  <u>Maybank account</u></font> </span> </FONT>
				</p>
<!--insert logo
				<span style="mso-bidi-font-weight:normal">



        <img border="0" src="maybank2u.gif" width="238" height="45">

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        </center>




			<p class="MsoNormal" align="center"><font face="Georgia" size="4">
            Name : AZIZAN BIN RAMLI</font></p>

			<p class="MsoNormal" align="center"><font face="Georgia" size="4">
            Account Number:-</font></p>

    
                <li>

			<p class="MsoNormal" align="center"><font face="Georgia" size="4">
            Maybank : 112205060543</font><o:p></p>

                </li>

	
<br>
			<p class="MsoNormal" align="center">
<font face="Verdana" size="3" color="#FF0000">P/S</font><font face="Verdana" size="3" > : If you do fund transfer via <o:p><font size="3"><span class="style2"><i><a href="http://www.maybank2u.com" target="_blank"><font size="4">www.maybank2u.com</font></a></i> ,kindly use this email : &nbsp;&nbsp; <i>azizan@addmathtambahan.biz</i></font>
<font face="Verdana" size="3" >for "3rd Party Email Address"
<br>
            <o:p>
            <o:p>

          <span style="mso-bidi-font-weight:normal">
            <p class="MsoNormal" align="center" style="text-align:center">
			<b><font color="#FF0000" face="Verdana" size="4">
            <span style="background-color: #FFFF00">Step # 2 :</span>*Important</font><font face="Verdana" size="5" color="#FF0000"><br>
			</font><font face="Verdana" size="4" color="#0000FF">Complete the 
            Payment Information<br>
            </font><font size="4" color="#FF0000">Please Take note</font><font color="#FF0000"> 
            : Fill&nbsp; in &amp; send this form, only after the payment is made</font></b></p>

<p><font color="#FF0000">*</font>Compulsory Information for you to fill in</font></p>
</span>

<form action="/cgi-sys/FormMail.cgi" method="post">
<input type="hidden" name="redirect" value="http://www.addmathtambahan.biz/sample_tutorial_8/tq_order.htm ">
<input type="hidden" name="subject" value="Membership Registration Payment" />
<input type="hidden" name="recipient" value="sales@addmathtambahan.biz" />
<input type="hidden" name="return_link_title" value="Back to Main Page" />
<input type="hidden" name="required" value="realname,email" />
  <label><strong><font color="#FF0000">*</font>Name :</strong>  &nbsp;&nbsp;
  <input name="realname" type="text" id="realname" />
  </label>
  <p>
    <label><strong>Tel. No:</strong>&nbsp;
    <input name="telephone" type="text" id="telephone" />
    </label>
  </p>
  <p>
    <label><strong><font color="#FF0000">*</font>e-mail :</strong>&nbsp;&nbsp;&nbsp;&nbsp;
    <input name="email" type="text" id="email" />
    </label>
  </p>

<p><label><strong><font color="#FF0000">*</font>Total Amount:</strong>&nbsp;&nbsp;&nbsp;&nbsp;
<select name="Total Amount">

  <option><strile>RM30 (One-Time Payment)-Membership Registration</option>

 </p> 



<select name="D1">
<p>

<label><strong><font color="#FF0000">*</font>Method of Payment:</strong>&nbsp;&nbsp;&nbsp;&nbsp;
<select name="Method of Payment">
      <option>maybank2u.com Online</option>
      <option>Maybank ATM Deposit / Counter</option>
      <option>Transfer From Other Banks</option>


    </select></font>

<p>
    <label><strong><font color="#FF0000">*</font>Date of Payment:</strong>&nbsp;
    <input name="Date of Payment" type="text" id="Date of Payment" />
    </label>
  </p>

<p>
    <label><strong><font color="#FF0000">*</font>Time Payment is Made:</strong>&nbsp;
    <input name="Time Payment is Made" type="text" id="Time Payment is Made" />
    </label>
  </p>

<p>
    <label><strong><font color="#FF0000">*</font>Your Log in Details :</strong><br />







<p>
    <label><strong><font color="#FF0000">*</font>Log in Name:</strong>&nbsp;
    <input name="Log in Name" type="text" id="Log in Name" />
    </label>
  </p>

<p>
    <label><strong><font color="#FF0000">*</font>First Name:</strong>&nbsp;
    <input name="First Name" type="text" id="First Name" />
    </label>
  </p>
<p>
    <label><strong><font color="#FF0000">*</font>Last Name:</strong>&nbsp;
    <input name="Last Name" type="text" id="Last Name" />
    </label>
  </p>
<p>
    <label><strong><font color="#FF0000">*</font>email:</strong>&nbsp;
    <input name="email" type="text" id="email" />
    </label>
  </p>

<span class="style19">
  <p>
    <input type="submit" name="Submit" value="Submit">
    <input type="reset" name="reset" value="Clear">
  </p>
</form>



            <p class="MsoNormal" align="center" style="text-align:center">
			<b><font face="Verdana" size="4" color="#FF0000">
            <span style="background-color: #FFFF00">Step # 3 :</span></font><font face="Verdana" size="5" color="#FF0000"><br>
			</font></b></b><p>
<i>
<font face="Verdana" size="3">&nbsp; 
							Ensure that all your details are correct and please click 
							&quot;Submit&quot; button only once...</font></i><b><font face="verdana" size="4" color="#0000FF">Done !</font></b><b></p></b><big>
				<span style="mso-bidi-font-weight:normal">

<font face="Verdana" size="2">
			<div style="text-align: center;">
                
                <font size="4">Once your payment is confirmed ,within 24 hours&nbsp; 
                an e-mail will be sent to you together with &nbsp; your
				<font color="#FF0000">*Log in Details and Password</font><b></p>

</div>
	

<br>
      		</b></font>

<font face="Verdana" size="3">Any inquiries regarding the payment, please contact :<b>-</b></font></span><font size="3" face="Verdana"><b><br>
			</b>
			<a href="mailto:sales@addmathtambahan.biz">sales@addmathtambahan.biz</a></font></big><b><p>

<P align=center><FONT size=3>© 2006-2009 Copy Rights www.addmathtambahan.biz
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