The Malaysia Singapore Brunei Cultural Association

#238 2680 Shell Road, Richmond, B.C., Canada, V6X 4C9

Applicant Name**: New Renew

Spouse's Name:

Child's Name(under 18 only):

Child's Name(under 18 only):

Child's Name(under 18 only):

Child's Name(under 18 only):

Child's Name(under 18 only):

Address**:

City*: , BC          Postal Code*:

Tel:(Home**) (Cell) (Office) Fax:

Applicant's Email**: Spouse's Email:

Annual Membership Fee (Jan-Dec):

Cash Cheque

By submitting, you will apply for membership and agree to abide by the rules of MSBCA.

(* Seniors defined as 60 years and above) (** Required information)

Thank you for taking the time to fill out this application. MSBCA and the Directors welcome you. You will receive a copy of our Newsletter published every 4 months. Also, being a member gives you access to the premises during business hours and offers you the opportunity to participate in the other activities at a discount rate.

Yours sincerely,
Membership Director
Email: msbcahq@gmail.com, Website: msbca.com