|
Membership Form
Please print out this page by selecting the 'Print' option on your
browser's menu and send the completed form to us at Orchard Road Post Office,
P.O. Box 65, Singapore 912303. Cheques and postal money orders should be made
payable to |
|||
| Please fill in the following fields. Fields marked with an * are optional. | ||||
| Mr. Mdm. Ms. Dr. | ||||
| First Name: | ||||
| Last Name: | ||||
| Name of Company: | (for corporate memberships only) | |||
| Email:* | ||||
| Tel.: | Home Work Mobile | |||
| Address: |
|
|||
| Occupation:* | ||||
| Date of birth:* | (DD/MM/YYYY) | |||
| Please enrol me as a: |
|
|||
| Would you like to be a volunteer? | Yes No | If you indicate 'yes', your name will go into a database of volunteers and CWS will contact you when the need for volunteers arises. | ||
| How would you like to receive our newsletters and other communications? | By email By regular mail | |||
| Would you like to make an additional donation? |
No
|
|||
| Please note that renewals are due every January for Junior, Ordinary, Senior and Coporate Members. | ||||
| Total amount enclosed: (SGD) | ||||
| Signature and Date | ||||