MEMBERSHIP RENEWAL 2017 Name of Swimmer :

IBSC Member Since : (dd/mm/yyyy)

Date of Birth : (dd/mm/yyyy)

Please attach 2 recent passport size photos of swimmer (selfie is acceptable)

Email Address of Swimmer: Annual Subscription () ()

Name of School:

Name of Parents/ Guardian:

RM60 for family with 1 swimmer

Email Address of Parents/ Guardian:

RM96 for family with 2 swimmers

Signature of Parents /Guardian:

Mobile No. :

Date:

Paid by Cash/ Giro/ Cheque No. :

RM

RM132 for family with 3 swimmers

Card No.

2017/

Notes: 1. Invitation is made to existing members of Ikan Bilis Swimming Club to renew their 2017 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, 2017 shall be entitled to attend the 2017 Annual General Meeting. 3. Any membership subscription remaining unpaid 60 days from 1 January, 2017 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 separate form for each swimmer and submit to IBSC secretariat. 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 2017 Renewal and email bank slip to [email protected]

KELAB RENANG IKAN BILIS (1971) K.L.

Kompleks Renang Kuala Lumpur, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Kuala Lumpur Email : [email protected], [email protected] | What’s App No. 6012-2599689 | Blog : ibswimteam.blogspot.my

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