Escape the Room Private Event Registration Meet you on 24th October 2014 Time 6.30pm - 9.30pm Mystery Place 100 Orchard Road Concorde Hotel & Shopping Mall #02-43, Singapore 239940 If you accept the challenge and join us for this event, please complete all fields. Name Date of Birth 123456789101112131415161718192021222324252627282930311617JanFebMarAprMayJunJulAugSepOctNovDec190019011902190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013 Designation Company Email Contact Please select your T-shirt Size (UNI-Sex): SmallMediumLargeExtra LargeExtra Extra Large Please select T-shirt color: CreamBrown If you have any questions about this event, please contact your respective Phoenix Contact Salesperson.
