Membership Form

WATER WATCH PENANG

INDIVIDUAL MEMBERSHIP APPLICATION FORM

NAME:........................................................................................................................

GENDER: MALE (     )  FEMALE (     )

ADDRESS:......................................................................................................................

PROFESSION:................................................................................................................. 

HIGHEST EDUCATION LEVEL:.............................................................................................

TEL (OFFICE):...........................TEL (HOUSE).........................HAND PHONE:.........................

FAX:........................................ EMAIL:.........................................................

INTEREST:.....................................................................................................................

I HEREBY CONFIRM THAT I AM A MALAYSIAN CITIZEN AGE 18 YEARS & ABOVE WITH NO CRIMINAL RECORDS. I AM APPLYING TO BECOME A MEMBER OF WATER WATCH PENANG OUT OF MY OWN FREE WILL. I WILL ABIDE BY THE ORGANISATION'S OBJECTIVES & RULES AT ALL TIMES. I UNDERSTAND THAT THE EXECUTIVE COMMITTEE OF WATER WATCH PENANG HAS THE POWER TO EXPEL ME IF I AM FOUND GUILTY OF MISCONDUCT OR HAS BEHAVED IN ANY WAY THAT DISCREDITS THE ORGANISATION.

PLEASE SEND COMPLETED FORM & RM24 CHECK WRITTEN OUT TO WATER WATCH PENANG (RM10 ENTRANCE FEE & RM12 ANNUAL FEE) TO:

THE SECRETARY, WATER WATCH PENANG, 10 BROWN ROAD, 10350 PENANG 

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WATER WATCH PENANG

CORPORATE MEMBERSHIP APPLICATION FORM

NAME OF COMPANY:......................................................................................................

COMPANY'S LICENCE NUMBER:......................................................................................... 

ADDRESS:......................................................................................................................

TOTAL NUMBER OF EMPLOYEES:...................................................................................... 

NAME OF CEO/GM:........................................................................................................

TEL (OFFICE):...........................TEL (HOUSE).........................HAND PHONE:.........................

FAX:........................................ EMAIL:.........................................................

INTEREST:.....................................................................................................................

I HEREBY CONFIRM THAT THIS COMPANY IS A MALAYSIAN-REGISTERED COMPANY. WE AM APPLYING TO BECOME A CORPORATE MEMBER OF WATER WATCH PENANG & WILL ABIDE BY THE ORGANISATION'S OBJECTIVES & RULES AT ALL TIMES. WE UNDERSTAND THAT THE EXECUTIVE COMMITTEE OF WATER WATCH PENANG HAS THE POWER TO EXPEL OUR COMPANY IF WE ARE FOUND GUILTY OF MISCONDUCT OR HAVE BEHAVED IN ANY WAY THAT DISCREDITS THE ORGANISATION.

PLEASE SEND COMPLETED FORM & RM2200 CHECK WRITTEN OUT TO WATER WATCH PENANG (RM1000 ENTRANCE FEE & RM1200 ANNUAL FEE) TO:

THE SECRETARY, WATER WATCH PENANG, 10 BROWN ROAD, 10350 PENANG