IMM Online Membership Registration Form

To begin your membership application process
please complete the online form below.
Please make your check to: Institute of Marketing Malaysia
Our mailing address is:
1G - 1st Floor, Bangunan SKPPK
Jalan SS9A/17
47300 Petaling Jaya
Selangor Darul Ehsan

IMM MEMBERSHIP APPLICATION FORM
	YOUR NAME		DATE Day/Mo/Year
	YOUR TITLE		EDUCATION DEGREE
	NATURE OF BUSINESS		MAILING ADDRESS
	BUSINESS ADDRESS		STATE
	TOWN		HOME TELEPHONE
	POSTAL CODE		HAND PHONE NO.
	BUSINESS TELEPHONE		FAX NO. E-MAIL
	POST BOX NO		E-MAIL ADDRESS
	TYPE OF MEMBERSHIP	Honorary Fellow Fellow Ordinary Member Associate Member Student	OTHER AFFILIATIONS
	AMOUNT OF CHECK (RM)		RECOMMENDED BY (NAME)
Please affix a recent passport-size photograph

 

info@imm.org.my