Membership Application

Register with us by filling out the form below.

SECTION 1: MEMBER DETAILS

THIS SECTION NEEDS TO BE COMPLETED IN FULL (except STUDENT)

SECTION 2 : PAYMENT DETAILS

Note: All Cheques are to be made payable to "Innovation Technology Managers (ITMA)" Completed form to be send back to us via email to norliyana.upm@gmail.com / itma.malayssia@gmail.com
ITMA respects the privacy of all members and we are committed to protect all personal information kept by us pursuant to the requirements of the
Personal Data Protection Act 2010 (“the Act”). Please tick the box below if you consented for us to use and process your personal information.your content here.