Embed Size (px)
Citation preview
2014 MSCPMP Circle
HALF YEARLY
Subscription Form
www.mscpmp.org
IMPORTANTAs a member you will receive notification on membership related event
invitation. Kindly provide us an email address which you access frequently and during weekend.
Alternatively, you can also like our facebook
All news and notification related to MSCPMP will be available at
www.mscpmp.org
https://www.facebook.com/mscpmp
[New / Renew / Update]
Subscriber InformationName: (As in Passport)
First Name:
Last Name:(Name registered with PMI)
Company (current) Designation: Default is PM
Correspondence address
Email 1:Personal email address only
Date of Birthyyyy/mm/dd
Email 2:Company / personal email address
PMI ID: Mobile Phone:
PMP ID: PMP Trained by AsiaICTpm: Yes / No
PMP Certification Date:
Joined MSCPMP Circle before (please circle) :
No:
If Yes :
2008 / 2009 / 2010 / 2011/2012/2013
1. ALL fields are compulsory
2. You may check your name registered with PMI at https://ccrs.pmi.org
3. IMPORTANT: Email 1, Email 2 or Mobile Phone info will be used for event notification and registration
4. The subscription information will be used for the purposes associated with the activities conducted by the Circle, e.g. announcement of events, collection of payments and distribution of newsletters. By submitting this form, I hereby consent to the collection and use of the information as described above.
One time registration fee Annual Subscription
AsiaICTpm PMP Alumni RM100.00 RM300.00
Others RM200.00 RM400.00
FIRST TIME Subscriber1.AsiaICTpm PMP Alumni : RM100 + RM300 = RM4002.PMP Trained by Others: RM200 + RM400 = RM600
2014 MSCPMP Circle Subscription Fee
Payable to MSCPMP Circle (Maybank 5-14169-15234-5)
Amount: ______________________ Cash / Cheque No: _______________
Bank: ______________________
Terms and conditions:
1.You will entitle to attend a Half Yearly Forum and one (1) additional SPECIAL EVENT free.
2.Earning you a total of 8 PDUs.
3.Enjoying 40% discount on all workshops organized by us. Check out upcoming workshop
How to make payment
Direct Transfer1.Transfer the fund via Maybank2u.com / Maybank’s ATM machine into our Maybank account No 5-14169-15234-5 (account owner Advanced Technology Studies Center Sdn Bhd). 2.Print PDF payment receipt and the completed registration form 3.Email documents in (2) to us. Email: [email protected]
By cheque 1.Please cross your check and make payable to MSCPMP Circle (Maybank 5-14169-15234-5)2.Bank in the cheque via Maybank’s ATM machine and scan or fax bank in receipt.3.Email documents in (2) to us. Email: [email protected]
