Wednesday, June 6, 2012

Membership Form (Version 2012)

ASSOCIATION OF WOMEN LAWYERS


H-2-12, Block H, Plaza Damas,

Jalan Sri Hartamas 1, 50480 Kuala Lumpur



MEMBERSHIP FORM


Name: ____________________________________________


Work Address/Institution:______________________________________________________


___________________________________________________________________________


Home Address:______________________________________________________________



___________________________________________________________________________



Tel No.: (Hse) _________________________ (Off) __________________________



(H/P) __________________________


Email Address: ____________________________________________



Brief Description about yourself:



Qualification: _____________________________________________



Occupation: _______________________________________________



Language(s): ________________________________________________________________



Areas of interest (in law): _____________________________________________________________



Registration fee for ordinary/Associate Members: RM10

Annual fee for ordinary members: RM 12

Annual fee for associate members: RM6



(Alternatively issue a cheque in favour of “Association of Women Lawyers”

Standard Chartered Bank No. 903142302307 and email your bank-in slip to sharm@fpspartners.com)



Enclosed herewith is cash/cheque in the sum of: __________________



Signed: ___________________________ Dated: ____________________________

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