The No.1 In­sur­ance Mag­a­zine in Malaysia

IN­SUR­ANCE is a mod­ern pro­fes­sional mag­a­zine that fo­cuses on top­i­cal yet cur­rent is­sues of the in­sur­ance and taka­ful in­dus­try. It is a prac­ti­cal aid to your pro­fes­sional de­vel­op­ment. Stay at the fore­front of your in­dus­try with IN­SUR­ANCE

Insurance - - KNOWLEDGE MANAGEMENT -

I NSURANCE Mag­a­zine Sub­scrip­tion Form

YES! IN­SUR­ANCE I wish to sub­scribe for the / term re­new in­di­cated my sub­scrip­tion be­low to

(please a)

mark ‘x’ where ap­pli­ca­ble)

Lo­cal

b)

1 Year (6 is­sues) at RM60.00 per sub­scrip­tion/re­newal

In­ter­na­tional

1 Year (6 is­sues) at USD50.00 per sub­scrip­tion/re­newal

POSTAGE & HAN­DLING

(please mark ‘x’ where ap­pli­ca­ble)

c)

Lo­cal Penin­su­lar Malaysia RM25.00 (6 Is­sues) East Malaysia RM35.00 (6 Is­sues)

In­ter­na­tional Zone A USD10.00 Zone B USD20.00 Zone C USD30.00 Postal charges are based on the fol­low­ing zones: Zone A: Asia, Asia Pa­cific e.g. China, In­dia, Tai­wan, Ja­pan, Aus­tralia, New Zealand Zone B: Europe, Mid­dle East Zone C: Amer­ica, Africa

MODE OF PAY­MENT Cheque / Bank Draft* Tele­graphic Trans­fer* Re­quest for In­voice* Credit Card* Visa MasterCard

SUB­SCRIBER’S DE­TAILS

Name: ......................................................................................................

Des­ig­na­tion: ............................................................................................

Com­pany Name: .............................………………………………………………………………..

Com­pany Ad­dress:..........................………………………………………………………………..

................................................................................................................

......................................................………………………………………………………………..

Coun­try: ...................................................................................................

Post Code: ................................................................................................

Tele­phone:................................................................................................

Fax:...........................................................................................................

Email: ....................................................................................................... PAY­MENT IN­STRUC­TIONS Cheque / Bank Draft No. ……………………………………… For RM / US …………………… payable to THE MALAYSIAN IN­SUR­ANCE IN­STI­TUTE. (For­eign buy­ers please in­clude

USD20 for bank charges) Please pro­vide the re­quired de­tails for Credit Card pay­ment: Card Num­ber: ................................................................................. Name printed on Card: ……………………………………………………………….. Ex­piry Date: .................. Sig­na­ture:........................................................................................

Tele­graphic Trans­fer de­tails be­low. (For­eign buy­ers please in­clude US20 for bank

charges) FOR FOR­EIGN CUR­RENCY Bank RHB Bank Ber­had Bank Ad­dress G129, Ground Floor, Bangsar Shop­ping Cen­tre, 285 Jalan Maarof, Bangsar, 59100 Kuala Lumpur, Malaysia Bank Swift Code RHBBMYKL Ac­count Name Multi Cur­rency Ac­count – Ac­count 3 Ac­count Num­ber 6141 6500 000 321 Re­cip­i­ent The Malaysian In­sur­ance In­sti­tute FOR LO­CAL CUR­RENCY Bank RHB Bank Ber­had Bank Ad­dress G129, Ground Floor, Bangsar Shop­ping Cen­tre, 285 Jalan Maarof, Bangsar, 59100 Kuala Lumpur, Malaysia Bank Swift Code RHBBMYKL Ac­count Name Ac­count 2 Ac­count Num­ber 2641 6000 004 670 Re­cip­i­ent The Malaysian In­sur­ance In­sti­tute

*Please email in­sur­anceed­i­tor@mii.org, my or fax us at +603 2093 9282 a copy of your banker’s re­mit­tance ad­vice as proof of pay­ment to us. The mag­a­zine will be mailed to you once we have re­ceived pay­ment.

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