Level 7, Unit 023, 129 Offices, Block J, Jaya One, No. 72A, Jalan Profesor Diraja Ungku Aziz, 46200 Petaling Jaya, Selangor D.E. Malaysia.
(603) 7613 1510 / (603) 7613 1511
A. Application Category
Associate Tier 1 (VIP Access) MembershipAssociate Tier 2 (Basic) MembershipAffiliate Membership
Associate Tier 1 (VIP Access) Membership shall be open to businesses, unincorporated bodies of persons registered in Malaysia and individuals qualifying as:
Online publisher
Digital service providers/Specialists
Associate Tier 2 (Basic) Membership shall be open to any individual, firm, or body established, incorporated, or registered under the laws in Malaysia; and is a party who is in the opinion of the Council involved or associated with the online publishing and advertising industry (including Advertisers / Brands) or the nature of their services justify them for admission to the Association. Associate Members Tier 2 do not vote or stand for election for any position at any General Meeting or be eligible to be nominated to the Council.
Affiliate Membership shall be open to any individual, firm, or body established, incorporated or registered outside Malaysia and is a party who is in the opinion of the Council involved or associated with the online publishing and advertising industry (including Advertisers / Brands) or the nature of their services justify them for admission to the Association. Affiliate Members may enjoy the privileges of Associate Tier 2 members.
B. Company Profile
Please provide the following (* if applicable):
StateKedahKelantanJohorMalaccaNegeri SembilanPahangPenangPerakPerlisSabahSarawakSelangorTerengganuW.P Kuala LumpurW.P LabuanW.P Putrajaya
* Business Category:
Media Owner/PublisherAgency/Specialist ServicesOthers:
C. APPOINTED REPRESENTATIVES
1. Representative information
2. Representative information
3. Finance & Human Resources details
D. Other Information
Please note that your application form should be accompanied with the following (if applicable):
Brief profile of the Company / Organisation;
Brief writeup on the principal activities, products and services;
Business Card of Appointed Representative/s;
For Sole Proprietorship / Partnership; Business Registration Certificate OR for Incorporated Companies, please provide a Certificate of Incorporation and the latest Form 24 & Form 49, SSM Corporation Information;
E. MEMBERSHIP FEE
Associate Tier 1 (VIP Access) Member
Entrance Fee: RM1,000.00
Annual subscription: RM6,000.00
Associate Tier 2 (Basic) Member
Entrance Fee: RM500.00
Annual subscription: RM3,000.00
Affiliate
Annual subscription: RM5,000.00
F. Declaration
I / We hereby nominate the above names as set out in Section C as our Representatives to this Association. I / We declare that the information herein is true and agree to be governed by the Rules and Regulations of this Association as they now and hereafter exist; if admitted.
Signature
Company stamp / logo