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ESU Malaysia - Membership

 

I would like to appy for : Junior Membership     : 13-17 years
Ordinary Membership : 18-25 years (RM10 p.a.)
Ordinary Membership : 26-60 years (RM30 p.a.)
Senior Membership    : 61 years and above (RM20 p.a.)
Name (capital letters) :
B.C./New NRIC/Int. Passport No. :
Gender : Male Female
Residental Address :
Post Code :
Tel :
Fax :
Date of Birth :
Place of Birth :
Employer/College/School :
Nature of Business / Service / Course taken :
Office / College / School Address :
Post Code :
Tel :
Fax :
Mobile Phone No :
E-mail :

Upon approval of your application, you can pay either by cash or by cheque/money order payable to “The English-Speaking Union of Malaysia.” RM1.00 will be levied on all payments made by cheque or money order. You can also register for membership now by coming to
Secretariat Office at 2nd Floor, Wisma BGAM, 15B, Jalan Sungei Besi Indah 1/18, Taman Sungei Besi Indah, 43300 Seri Kembangan, Selangor Darul Ehsan or by calling directly at 03-8942 6278 for membership enquiries.

  

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The English Speaking Union of Malaysia
Secretariat Office, 2nd Floor, Wisma BGAM, 15B, Jalan Sungei Besi Indah 1/18
Taman Sungei Besi Indah, 43300 Seri Kembangan, Selangor Darul Ehsan, Malaysia
Tel : +60 3 8942 6278     Fax : +60 3 8948 0187     Email: info@esumalaysia.com.my
© 2005 The English Speaking Union of Malaysia

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