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CiviCRM
Business Membership Application
Categories
*
RM 10,000 Patron
RM 7,500.00 Sponsor
RM 2,800.00 Associate
RM 2,800.00 Corporate
RM 1,400.00 SME/Entrepreneur
New member
RM 500.00 Entrance Fee for SME/Entrepreneur
RM 1,000.00 Entrance Fee for Corporate/Associate/Sponsor/Patron
Total Amount
Membership Company Profile
Please enter today's date
Date of membership application
*
CONTACT DETAILS
Company Name
*
Website
Phone
*
Fax
General Email
*
Street Address
*
City
*
Postal Code
*
Country
*
- select -
Malaysia
Brunei Darussalam
Cambodia
France
Hong Kong
Indonesia
Lao People's Democratic Republic
Myanmar
Philippines
Singapore
Switzerland
Thailand
Timor-Leste
United States
Viet Nam
State/Province
- none -
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Sabah
Sarawak
Selangor
Terengganu
Wilayah Persekutuan Kuala Lumpur
Wilayah Persekutuan Labuan
Wilayah Persekutuan Putrajaya
ACTIVITY
Date of establishment in Malaysia
Company Category
- none -
French subsidiary with link with France
French entrepreneur with no link with France
Malaysian company
Other
Number of employees in Malaysia
Annual turnover
Number of expatriates
Please upload your company logo (JPEG or GIF).
Company Logo
REPRESENTATIVES
Alternative Representative
First Name
Last Name
Position
Direct Tel
Email
Alternative Representative
First Name
Last Name
Position
Tel
Email
PERSONNEL
HR Manager
First Name
Last Name
Tel
Email
Financial Manager
First Name
Last Name
Phone
Email
French Employee
First Name
Last Name
Tel
Email
French Employee
First Name
Last Name
Tel
Email
PARENT COMPANY
Name of the Parent Company
City
Country
- none -
Malaysia
Brunei Darussalam
Cambodia
France
Hong Kong
Indonesia
Lao People's Democratic Republic
Myanmar
Philippines
Singapore
Switzerland
Thailand
Timor-Leste
United States
Viet Nam
Number of employees worldwide
< 250
250-500
500-1000
1000-10000
> 10000
BUSINESS SECTOR
Business Sector
*
- select -
Achat
Administration
Aéronautique, aérospatiale
Agriculture
Agroalimentaire
Architecture
Art
Assurance
Automobile
Autres
Autres Services Professionnels
Avocats, services juridiques
Banque
Biens de Consommation
Biotechnologie
Commerce de détail
Comptabilité, audit
Conseil
Construction BTP
Contrôle qualité
Culture, création
Défense, armement
Design
Distribution
Eau, assainissement
Electronique
Emballage
Energie
Enseignement
Environnement
Equipement de transport
Evènementiel
Externalisation des processus d''affaires
Finance
Horlogerie, bijouterie
Hôtellerie
Immobilier
Imprimerie
Industrie
Industrie Chimique, plasturgie
Industrie Lourde
Industrie Manufacturière
Ingénierie
Jouets, jeux
Logiciels
Logistique, transport et activités connexes
Loisirs
Luxe
Machines outils
Marketing, communication, RP
Média
Meubles et décoration intérieure
Mines et métaux
Négoce
Produits de Beauté, cosmétiques
Recherche et Développement
Ressources humaines et recrutement
Restaurants
Sans but lucratif
Santé, médical et pharmaceutique
Sécurité
Sociétés d''investissement
Systèmes Informatiques
Tabac
Technologie
Télécommunications
Textile
Traduction, interprétariat
Transports publics
Vins et Spiritueux
Voyages, Tourisme
COMPANY PROFILE
Please describe your company's activity in 150 words max
Description
*
Membership Official Representative
First Name
*
Last Name
*
Position
*
Direct Tel
*
Email
*
Payment Options
Payment Method
Credit Card or Paypal
Cheque or Bank Transfer. (tax invoice will be provided upon request)
