Club Registration Form

1. CHOOSE TYPE OF MEMBERSHIP
LifetimePremiumBasic

2. CHOOSE YOUR MEMBER CLASSIFICATION
IndividualCorporation/Organization

3. FILL IN YOUR OFFICIAL CLUB MEMBER NAME

4. FILL IN YOUR CONTACT DETAILS
Authorized Member Name

Position

Company

Company TIN #

Office Address (in full)

Mobile No.

Telephone No

Email Address

Fax Number

Payment Method
BMA OfficePaypalBank Deposit