2.0 Membership Card Application Form

Hello everyone! Are you interested to sign up the membership card for 5% rebates in Koperasi shop of Chung Ling High School?

Kindly fill in the form below to sign up the 2.0 Membership Card!

What's your name?
What's your school no.
Your IC please
What's your contact no.
Your mailing address
How can we email you?
Who are you?	Co-op Club Members Non Club Members Co-op Shop Shareholders Non Shop Shareholders
How you know us?	Via Facebook? School Promotions? Website Promotions? Notice Board? Others
Do you have a website?

Thank you very much for your patient time.

We will kindly contact you when your card is done.

*Note : The 2.0 membership card pre-subscribers will enjoy the discount on registration fees.

Normal Price : Co-op Members = RM 3.00

Non Co-op Members = RM 5.00
Co-op Shareholders = RM 4.00

Non Shareholders = RM 6.00

Put a website form like this on your site.