Microsoft Word - App Form-2

No:

MEMBERSHIP RENEWAL / CORRECTION / MULTIPURPOSE FORM In order for the Society to keep up-to-date information, we appreciate if you can inform us of any change, by completing the form below. To: Hon. General Secretary Buddhist Missionary Society Malaysia 123 Jalan Berhala, Brickfields, 50470 Kuala Lumpur.

Date: ..........................................

Please renew my Ordinary Membership for the year(s) ................. [OM fee is RM20.00 p.a.] I would like to become a Life Member of the Society. [LM fee is RM150.00] I would like to donate RM .................... towards the BMS Building Fund. I would like to donate RM .................... towards the BMSM Welfare Section / Ladies Section / Youth Section. I would like to donate RM .................... towards (state purpose): .......................................................................................... My particulars & correspondence address have changed to the following: Name : (Mr/Ms/Mdm) ..............................................................................

Membership No. : ................................................

Address: ..........................................................................................................

New NRIC No. : ...................................................

..........................................................................................................

Occupation

: ...................................................

..........................................................................................................

Tel

: (H) ............................................ (O) ............................................

.......................................................................................................... Postcode: ...................................

City / Town : .......................................

(H/P) ........................................

I enclose herewith cash / Cheque / Money Order / Postal Order No. .................... for the above fee / donation for the total amount of RM ...........................................

...................................................... . (Signature) P.S. Please quote your membership no. when making your renewal.

No:

MEMBERSHIP RENEWAL / CORRECTION / MULTIPURPOSE FORM In order for the Society to keep up-to-date information, we appreciate if you can inform us of any change, by completing the form below. To: Hon. General Secretary Buddhist Missionary Society Malaysia 123 Jalan Berhala, Brickfields, 50470 Kuala Lumpur.

Date: ..........................................

Please renew my Ordinary Membership for the year(s) ................. [OM fee is RM20.00 p.a.] I would like to become a Life Member of the Society. [LM fee is RM150.00] I would like to donate RM .................... towards the BMS Building Fund. I would like to donate RM .................... towards the BMSM Welfare Section / Ladies Section / Youth Section. I would like to donate RM .................... towards (state purpose): .......................................................................................... My particulars & correspondence address have changed to the following: Name : (Mr/Ms/Mdm) ..............................................................................

Membership No. : ................................................

Address: ..........................................................................................................

New NRIC No. : ...................................................

..........................................................................................................

Occupation

: ...................................................

..........................................................................................................

Tel

: (H) ............................................

.......................................................................................................... Postcode: ...................................

City / Town : .......................................

(O) ............................................ (H/P) ........................................

I enclose herewith cash / Cheque / Money Order / Postal Order No. .................... for the above fee / donation for the total amount of RM ...........................................

...................................................... (Signature) . P.S. Please quote your membership no. when making your renewal.