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IMA Dubai-UAE Chapter > Sharjah Ladies Club SLC Discount Program Form
This is a form to reflect interest to participate in the SLC Discount Program
Email address *
IMA Dubai-UAE Chapter
Name of Interested IMA Member *
Your answer
IMA ID Number *
Your answer
Name of Spouse (In case of a male member)
Your answer
Contact Telephone/Mobile *
Your answer
Number of kids to include in the membership *
Remarks/Special Notes
Your answer
A copy of your responses will be emailed to the address you provided.
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