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Home > Membership > Pay Online Form
   
 
 
 
 

To apply for membership and make payment online, please fill-in the particular below.

Fields marked with an asterisk (*) are required
         
 
 *  Full Name
:
 
 
 *  IC Number
:
 
 
 *  Occupation / Profession
:
 
 
 *  Designation
:
 
 
 *  Home Address
:
 
 
 *  Office Address
:
 
 
 *  Postal Address
:
 Home              Office 
  
 
 *  Tel Number
:
 
 
 *  Fax Number
:
 
 
 *  Email
:
 
 
 *  Are you an existing
     Member?
:
 Yes (I wish to renew my membership)
 No  (I wish to join as a new member)
         Note: Registration fee RM 30.00
 
 
 *  Membership Type
:
 Ordinary member (RM 50.00 per annum)
 Life member (RM 300.00)
 Non-profit organisation
        (RM 200.00 per annum)
 Profit organisation (RM 250.00 per annum)
 Associate Member (RM 30.00 per annum)
 
 
 
 
 
 
 
 
 
Please note that your Payment is processed by Mobile88.com Sdn Bhd.The Name of Mobile88.com will be shown on your Credit Card / Bank Statement and you will also receive a notification e-mail from Mobile88 on this Transaction.
 
 
 
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