Membership Application Form

Membership Online Application

The Secretary
The Maritime League

Sir/Madam:

I wish to apply as member of THE MARITIME LEAGUE as indicated below and enjoy the privileges of membership including a free subscription to the MARITIME REVIEW.

	Corporate	P 20,000 initial and P 5,000 lifetime dues
	Regular	P 5,000 initial and P 5,000 lifetime dues
	Associate	P 3,000 initial and P 5,000 lifetime dues

		Enclosed is my personal / company check payable to Maritime League

Credit Card No: Expiry Date:

Subscriber's Information:

Name:	Date of Birth:

Position/Title	Office/Company

Business Address:

Tel.No.:	Fax#:

Home Address:

Tel.No.:	Fax#

Preferred Mailing Address:

Office
Home

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