Ordinary Member Life Member Corporate Member
From Year : (required)
Until Year : (required)
Name : (required)
NRIC No. : (required)
Member I.D. : (required)
Email Address : (required)
Contact No. : (required)
To be made upon submission
By Cheque Deposit By Interbank Online Transfer
Name of Account Holder : Persatuan Perubatan Integratif Malaysia
Name of Bank : Alliance Bank Malaysia Berhad
Bank Account No. : 141760010054697
Bank SWIFT Code : MFBBMYKL
Amount : RM
Please email Cheque Deposit Slip to info@integrativemedicinemalaysia.org or by fax.
Browse scanned cheque / bank in slip : ( max. file size limit to 2MB & only allow format pdf, docx, txt, csv, jpg, png and gif )
