Renew Your Membership

Membership Type	One Time (RM)	Yearly (RM)	Total (RM)
Ordinary	100	150	250
Associate	100	150	250
Corporate	5000	1000	6000

PERSONAL INFORMATION

MEMBERSHIP

PAYMENT

Personal Information

Year *

Title *

First name *

Last name *

Email *

Phone (optional)

Passport No or NRICNo *

Qualifications *

Occupation *

Designation *

Company *

Address

Street address *

Town / City *

Postcode *

State (optional)

Country *

Memberships

Products

Price

Renew Membership Ordinary x1

RM250.00

Renew Membership Associate x1

RM1,050.00

Renew Membership Corporate x1

RM25,200.00

I hereby agree to support the Malaysian Society of Lifestyle Medicine, its by laws, and to practice in accordance with the principles and guidelines established by the Society. *

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Order Summary

Product	Total
1 Renew Membership Ordinary × 1	RM250.00
Subtotal	RM250.00
Total	RM250.00

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Payment Information

All transactions are secure and encrypted. Credit card information is never stored on our servers.

Direct bank transfer

Make your payment directly into our bank account. Use your Order ID as the payment reference.
Please make payment to :-

Beneficiary’s Name: Malaysian Society of Lifestyle Medicine
Beneficiary’sAdd :
T1L0303
One IOI Square
IOI Resort
62502 Putra Jaya

Beneficiary’s Account No: 21427700087940
Swift Code : RHBBMYKL
Bank : RHB Bank Bhd

Bank Add :
Lot G-01 Ground Floor
Bangsar Shopping Centre Office Tower
Jalan Maarof
Bangsar
59000 Kuala Lumpur
Malaysia

Please email payment advice to info@lifestylemedicinemalaysia.org

Update totals

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