Sri Guru Gobind Singh Ji Khalsa Garh Malaysia

Membership Application Form


To apply for membership (rules & regulations apply), print this form using your browser's "print" command. Complete and mail to the address given below.


Name:__________________________________________

Citizenship:___________________________________

Address:_______________________________________

_______________________________________________

_______________________________________________

Telephone:_____________________________________

Facsimile:_____________________________________

E-mail:________________________________________

Memberships

Circle your choice:
Patron member Donated RM 10,000 & above.
Life member Donated RM 1,000 & above.
Life associate members Donated RM 1,000 & above (non-citizens).
Ordinary member RM 24 annually.
Associate ordinary member RM 24 annually
(non-citizens).
Junior member RM 12 annually
(12-18 yrs).

Would you like a receipt to be sent to you? (Y/N)


Make cheque or money order payable to:

Sri Guru Gobind Singh Ji Khalsa Garh Malaysia.

Mail to:

No. 23, Lorong Tiong Nam Enam 6,
Off Jalan Raja Laut 50350,
Kuala Lumpur,
Malaysia.

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