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


 

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 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)
 


 

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