Registration Form

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Koperasi Membership Card

Product by Co-operative Club of CHUNGLING High School


www.clhscoop.blogspot.com
Start from 1st of
September 2009
Registration Form /
登记 表格

*Name / 姓名(As in NRIC / Passport)


(Eng)_______________________________________________
(中文)______________________________________________
*NRIC / IC Number / 身份证号码
__________________________________________________
*School Number / 学号
__________________________________________________
*Date of Birth / 生日
__________________________________________________
*Email Address / 电邮地址
__________________________________________________
*Blog / 部落格
__________________________________________________
*Home Address / 住家地址
__________________________________________________
*Home Tel No. / 住家电话 *Mobile / 手机
____________________ ______________________

For those who have registered and owned for the member card will have
5% discount for buying stuffs in Koperasi shop of CHUNGLING High
School. Each person can just owned for 1 card only. No sharing for the
member card while buying stuffs in Koperasi shop. To those who have the
member card will get 5% discount on all items in Koperasi shop.

P/s: For more details, LOGIN


www.clhscoop.blogspot.com

PAYMENT MODE:
Come to Koperasi shop with this registration form.

Co-op Member : RM5


Non-Co-op Member : RM8
Open from Monday-Friday: 10.10am to 11.10am Signature of Card Owner

Terms and Conditions apply.

®All Right Reserved by 2009/10 Co-operative Club OF CHUNGLING High School.

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