Join Membership – Just International

JOIN MEMBERSHIP

International Movement For A Just World

Membership Application

First Name

Last Name

Gender

Male Female

DOB

Nationality

Passport Number

Identification Number

Home Address

Address

City/Town

Postcode

State

Country

Office Address

Address

City/Town

Postcode

State

Country

Contact Information

Primary Email Address

Other Email Address

Handphone

Home Phone

Home Fax

Office Phone

Contact Information

Web Site

Reference

Interest

Additional Comments

Areas in which I can contribute

Writing/Editing Serving in sub-committee Helping in organizing activities

To be a JUST member, the applicant will be required to pay a once and for all membership fee of RM100/USD30

Writing/Editing Serving in sub-committee Helping in organizing activities

Click here for waiver

Membership waiver

By submitting this form, I hereby confirm all information i have entered is true.