MEMBERSHIP FORM

Please post and email me the following details with your payment in favour of "Association of Women Lawyers" to:

Goh Siu Lin
c/o Messrs Shook Lin & Bok
20th Floor, AmBank Group Building
55, Jalan Raja Chulan
50200 Kuala Lumpur

Email: siulin@shooklin.com.my

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MEMBERSHIP FORM


NAME :


WORK ADDRESS :


HOME ADDRESS :


TEL. NO : (HSE)
(OFF)
(H/P)
(E-mail)

Registration fee for ordinary / associate members (RM10)

Annual fee for ordinary members (RM12 - law graduates)
Annual fee for associate members (RM6 - law students)

Enclosed herewith is cash / cheque in the sum of



Signed :

Date :


Please give us a brief description about yourself :

Qualification :

Occupation :

Language (s) spoken :