World Islamic Economic Forum Foundation

Company Name:
Corporate Nominee:
Name of Authorized Official / CEO :
Designation:
Email Address:
Phone Number:

I Agree	My company is interested to apply to become a Corporate Member of the World Islamic Economic Forum Foundation. We subscribe to the Aims and Objectives of the Foundation. The corporate nominee of my company is stated above. Upon completion of this form, we will arrange for the payment of the membership fee of USD10,000 (payable in Ringgit Malaysia for companies incorporated in Malaysia) made payable to the “World Islamic Economic Forum Foundation”.

PARTICULARS OF CORPORATE MEMBER.

Company Registered Name:
Corporate Registered Number:
Nature of Business :
Name of Chairman:
Name of CEO:
Name & Designation of Corporate Nominee (*if different from above)
Company Address :

Phone Number:
URL:
Fax:
Email:

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