Membership Registration Form

Membership Registration Form

Please complete this form for registration purpose
Full Name / Nama Penuh*
NRIC / Passport*
Gender / Jantina:*

MaleFemale
Phone Number / Nombor Telefon*
E-mail / Emel*
example@example.com
Mailing Address / Alamat Surat-Menyurat*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
How did you hear about us? / Bagaimana anda tahu tentang kami?*
Please Specify / Sila jelaskan*
JomHiking Exclusive T-Shirt (Merchandise) - For Member Only
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Product Name
40.00MYR Quantity

Total

0.00MYR
Please select your t-shirt size / Sila pilih saiz t-shirt*

XSSMLXLXXLXXXL
Should be Empty: