Application for Corporate Membership of Workability Asia

1. Details of applying organization:
2. Short description of your organization (Legal status, Aims, Disability related, etc.)
3. Authorized signatory:
4. Membership fee and the Solidarity Fund:
Annual membership fee is US$500.00. Other than the membership fees the Solidarity Fund is to make it more viable and sustainable the activities of Workability Asia. The Solidarity Fund is your voluntary contribution. One unit of the Fund is US$500.00.
5. Our Bank Account:
Bank Name: BANGKOK BANK PUBLIC LTD., Banglamung Branch
Name: The Redemptorist Foundation for People with Disabilities for WAsia
Account Number: 342-4-75838-5
Swift Code: BKKBTHBK (www.bangkokbank.com)
Bank Address: Pattaya City, Chonburi, Thailand
Tel: (66 2) 645-5555
6. Please email your latest annual report and/or brochure of your organization with your application to : Ms. Nayantara Janardhan
Email : nayantara@enableindia.org
Website : www.workabilityasia.org

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