Membership - Johor Yacht and Recreation Club

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Membership Form

FIrst Name

Last Name

Date of Birth

Place of Bith

NRIC

Emaila valid email

Membership Typechoose one

Individual MemberAssociate Member

Mobile Number

Address

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Job Title

Employer's Name

Employer's Address

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Bank Details:

Account Name : Kelab Pelayaran Dan Rekreasi Negeri Johor
Account No. CIMB 8011004910
RM3,000 (Membership fee)

Payment Referenceupload

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Actual Sample JYRC membership card

Remarksmore details

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I Agree that the information all correct

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