SMS Application Form

Please print out this application form and send it together with your cheque addressed to "Singapore Microcomputer Society", and send it to our correspondence address at Bedok Central P O Box 0841, Singapore 914615

SINGAPORE MICROCOMPUTER SOCIETY
APPLICATION FORM - NEW MEMBERSHIP / RENEWAL

Please tick where applicable

ONE YEAR

_____ Individual - S$80 (S$60 + S$20) Membership plus Admission

_____ Corporate Membership with 6 passes - S$370 (S$350 + S$20) Membership plus Admission

_____ Corporate Membership with 3 passes - S$220 (S$200 + S$20) Membership plus Admission

_____ Individual (Renewal) - S$60 Membership

_____ Corporate Membership with 6 passes(Renewal) - S$350 Membership

_____ Corporate Membership with 3 passes (Renewal) - S$200 Membership

TWO YEARS

_____ Individual - S$130 (S$60 + S$50 + S$20) Membership plus Admission

_____ Individual (Renewal) - S$110 (S$60 + S$50) Membership

_____ Corporate Membership with 6 passes - S$720 (S$700 + S$20) Membership plus Admission

_____ Corporate Membership with 3 passes - S$420 (S$400 + S$20) Membership plus Admission

Name / Contact Person :_______________________________________________________

Company (for Corporate) : _____________________________________________________

Address : _____________________________________________________________________

_______________________________________________________________________________

Tel : ____________________ (OFFICE) ______________________ (HOME)

Internet Email : ______________________ Home Page : __________________________

Occupation / Type of Business : _______________________________________________

Special Interest : ____________________________________________________________

Membership No.* : ______________________ Expiry Date* : _______________________

Payment : CASH / CHEQUE / BANK DRAFT (delete where not applicable)

If cheque or bank draft, state Bank and Draft/Cheque No. ______________________

Signature / : ____________________________ Date : ____________________
Company's Stamp

*Applicable for existing SMS Members only (for Renewal of Membership)