Member Registration

All fields with Asterisk (*) are required to be filled-in.

COMPANY INFORMATION (For publication in SEAISI Directory only)

Name of Company*

Office Address*

City*

State*

Postal Code*

Country*

Telephone (Including country and area codes)*

Fax (Including country and area codes)*

Website URL (Eg:www.seaisi.org)

Company Email Domain (Eg:seaisi)*

Year of Established*

Number of Employees*

Number of Work(s) / Plant(s)*

Annual capacity (Ton)*

Annual Turnover (USD)*

Work(s) / Plant(s) Location

Login Account Information

Owner Information

Details same as Login Information

E-mail (Login Email)*

E-mail

Salutation*

Salutation

Last Name*

Last Name

First Name*

First Name

Designation*

Designation

All fields with Asterisk (*) are required to be filled-in.

BILLING ADDRESS (For account and billing purpose only)

Details same as Office Address

Office Address*

City*

State*

Postal Code*

Country*

Company's Authorised Representative (For Billing)

Details same as Owner Information

Salutation*

Last Name / Family Name*

First Name(Given name) / Middle initial*

Designation*

Telephone (Including country and area codes)*

Fax (Including country and area codes)

E-mail*

MAILING ADDRESS (For postage of SEAISI publication only)

Details same as Billing Address

Office Address*

City*

State*

Postal Code*

Country*

Company's Authorised Representative (For SEAISI Publication)

Details same as Owner Information

Salutation*

Last Name / Family Name*

First Name(Given name) / Middle initial*

Designation*

All fields with Asterisk (*) are required to be filled-in.

Contact of Business Inquiries

Name*

Designation*

Contact of Business Inquiries

Name

Designation

Contact of Business Inquiries

Name

Designation

Payment Summary

Type of Member: Associate Member

Membership Period: 10 months

Price: US$500.00

Membership Application Form

COMPANY INFORMATION (For publication in SEAISI Directory only)

Login Account Information

Owner Information

BILLING ADDRESS (For account and billing purpose only)

Company's Authorised Representative (For Billing)

MAILING ADDRESS (For postage of SEAISI publication only)

Company's Authorised Representative (For SEAISI Publication)

Contact of Business Inquiries

Contact of Business Inquiries

Contact of Business Inquiries

Payment Summary