Autism Association (Singapore)

Membership Registration Form

Membership

Membership programs are a means of incentivizing giving and involvement within nonprofit organizations and associations. The organization extends additional engagement opportunities to members in exchange for donations in the form of membership fees. The benefits of extra donations through membership fees, but they also provide specialized perks and engagement opportunities for invested supporters—a truly mutually

Salutation

Full Name (as in NRIC)

NRIC (last 3 digits + 1 character)

Occupation

Email Address

Mobile Phone

Date Of Birth

Gender

Marital Status

Race

Other Race

Religion

Other Religion

Nationality

Nationality Other

Preferred Mode of Contact

Street Name

Block / House No

Unit Number

Country

Please Specify the Country

Postal Code Postal Code

I verify that the personal data provided in this form is accurate and complete. I also hereby consent to the collection, use, and disclosure of my personal data by Autism Association (Singapore) (“AA(S)”) for the purposes stated in the Data Protection Notice.

I agree to the terms and conditions of the Acknowledgement and Consent.

I would like to receive updates from AA(S)