ATAS Corporate Membership Registration Form - Malaysian Invention and Design Society

Section A - Particulars of Applicant

Name of Organisation(Required)

Telephone

Handphone(Required)

Email(Required)

Company Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Name of Nominated Individual Member

Position in the Company

Field of Interest

Section B - Membership Fee and Payment

Corporate Membership Entrance fees RM1000: Annual Subscription fees RM300 = Total RM 1300
1. Bank Name: MAYBANK
2. Bank Payee Name: PERSATUAN AKADEMI SAINS PERTANIAN TROPIKA (ATAS)
3. Account Number: 564191582178
4. Please Email Proof of Payment to atas.exco@gmail.com

Payment Method

CHEQUE

CASH

Online Transfer