CORPORATE MEMBERSHIP FORM - Malaysian Invention and Design Society

Section A - Particulars of Applicant

Corporate Membership No.

Name of Organisation*

Nature of Business*

Company Address*

Street Address City County / State / Region ZIP / Postal Code Country

Phone

Fax

H/P*

Email*

Nomination*

(1 Person only)

Name of current nominated person*

Mobile*

Email*

Name*

Individual

Position*

Please tick where applicable. You may tick more than one field of interest.

Please email bank-in-slip to minds.secretariat@gmail.com or Fax to: 03-7118 2063 with your name and telephone number attention to Mei Lyn

Entrance fees RM1000. Annual Subscription fees RM300*

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