MCCA Registration Membership form
Please fill up this form for registration purpose:
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Type of Membership *
Please checkout MCCA website for membership requirements and benefits. Link: http://www.mccainfo.org/p/membership.html?m=1
Name (Individual / Company / Organization) *
Example: AHMAD BIN KHASAN / XTREE RESOURCES / PERSATUAN LITAR CABARAN SELANGOR
Mykad / Passport / ROC / ROS Registration number *
Example: 831212-01-5007 / SA0198766-W / 7799/2016
Telephone no. *
Mailing Address *
E-mail *
T-Shirt Size *
Experience in Challenge Course *
Annual Fee
Professional Builders : RM500.00
(Payment MUST be made after committee approval)
Affiliate Organizations : RM300.00
Individual : RM100.00

Please make a payment through CDM Maybank to:

Acc.Name: PERSATUAN LITAR CABARAN MALAYSIA
Acc. No: 5648-5630-8641

**Email copy of bank receipt to mychallengecourse@gmail.com 


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