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Useful Links
Application Form
Click Here
To Download A Printable Version Of The Application Form
Personal Information
Title
Mr.
Mrs.
Ms.
Other:
Name Of Applicant
Address
City
State
Postcode
Contact Information
Email Address
Home Phone
Mobile Phone
Company Name
Office Phone
Children's Information
Child's Name
Date Of Birth
At Alice Smith School? *
Yes
Yes
Yes
Membership Category
Full Membership
Friends of Ireland
Brief Description Of Irish Connections
Membership Type
Family Membership - RM100 (p/a)
Life Membership - RM500 (one-time)
Payment Information
Cash
Cheque Cheque No & Bank:
Cash/cheques can be banked in at HSBC - St. Patrick's Society - Account Number 301 029807 001.
Cheques should be made in favour of "St. Patrick's Society Of Selangor" and posted to
St. Patrick's Society of Selangor, Suite 301, F139, Bangsar Shopping Centre,
285 Jalan Maarof, Bangsar, 59000 Kuala Lumpur.
For further enquiries, please contact us at:
membership@stpatsoc.org
* Details will be passed to the Patrick's Society Trustee Member / Governor Of The Alice Smith Schools Association for information.
