Membership Application form

Membership Application Form

Dear Sir,

I am desirous of becoming a Member of the Socisty. I heareby agree to abide ny its rules and regulations.

I enclose herewith two photographs 2" x 11/2", Entrance fee $50.00, Annual Subscription $50.00/Life Member $600.00.

Oversea Life Member entrance fee USD30.00, Subscription USD300.00 (except Singapore)

Membership : Ordinary Member Life Member

News Letter : English Chinese

Name :

Nationality :

Honours :

Date of Birth :

Identity Card No :

Education :

Sex : Male Female

Telephone :

Present Occupation :

Address :

Are you a member of other photographic society Yes No

Category : Amateur Professional

Introducer (if any) :

Date Application Submitted :

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Signature of Applicant.

This is NOT an electronic document. You may download or print this page as your official Application Form for membership of PSM. Please fill or click in the appropriate columns, attached the remmitance where applicable and send the document to: THE PHOTOGRAPHIC SOCIETY OF MALAYSIA, P. O. BOX 12044, 50766 KUALA LUMPUR, WEST MALAYSIA.

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Membership	:	Ordinary Member	Life Member
News Letter	:	English	Chinese
Name	:
Nationality	:
Honours	:
Date of Birth	:
Identity Card No	:
Education	:
Sex	:	Male	Female
Telephone	:
Present Occupation	:
Address	:
Are you a member of other photographic society		Yes	No
Category	:	Amateur	Professional
Introducer (if any)	:
Date Application Submitted	: