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Corporate Membership Registration Form

Company Name
Business Address
Contact Person
Telephone
Fax
E-mail

Upload of Supporting document



Payment Details
Payment: Cheque
American Express
MasterCard
Visa
Cardholder Name
Card Number
Expiration Date
Cheque Number

Cheques should be made payable to: Singapore National Institute of Chemistry
Supporting documents and payment, should be sent to:

SNIC Secretariat
c/o CMA International Consultants Pte Ltd
1 Liang Seah St
#02-12 Liang Seah Place
Singapore 189022