MEMBERSHIP RENEWAL 2018 Date of Birth : (dd/mm/yyyy)

Name of Swimmer(s) :

1st child

Swimmer 1 (1 recent passport photo)

2nd child Swimmer 2 (1 recent passport photo)

3rd child

Annual Subscription () ()

RM60 for family with 1 swimmer

RM96 for family with 2 swimmers

RM132 for family with 3 swimmers

Swimmer 3 (1 recent passport photo)

Name of Parents/ Guardian : Email Address of Parents/ Guardian : Signature of Parents /Guardian :

Contact No. :

Date :

Paid by Cash/ ATM/ Giro/ Cheque No. :

RM

Card No.

2018/

Notes:

1. Invitation is made to existing members of Ikan Bilis Swimming Club to renew their 2018 memberships. Acceptance of membership renewal is subject to the approval of EXCO of IBSC. 2. Only members, who pay and renew their memberships not later than 1 February, 2018 shall be entitled to attend the 2018 Annual General Meeting. 3. Any membership subscription remaining unpaid 60 days from 1 January, 2018 will result in cancelation of membership. Re-joining fee of RM20 per member applies subject to acceptance of member by EXCO of IBSC. 4. Please use one form for each family and submit to IBSC secretariat before 1 February, 2018. 5. Online payment is to be credited to : KELAB RENANG IKAN BILIS, HONG LEONG BANK BERHAD, AC NO. 32100000386 Please indicate in Ref :Swimmer’s Name 2018 Renewal and email bank slip to [email protected]

www.ibswimteam.blogspot.my | email : [email protected], [email protected]