Download Application Form Page 1 & Page 2

Online Alfo Club Application Form
Title:	Mr. Mrs. Ms. Dr.
*Full name as in NRIC:
*Name to appear on card:
*Handphone:
House Phone:
Office Phone:
*Email:
NRIC:
Gender:	Male Female
*Date of Birth:	/ / DD/MM/YYYY
Nationality:
Marital Staus:	Single Married
Race:	Malay Chinese Indian Others
*Religion:	Islam Buddhism Christianity Hinduism Others
Home Address:	Postcode
Correspondence Address:	Postcode
Gross household income:
Nature of Occupation:	Professional Manager Executive Officer Clerical/Non-executive/factory Own Business Housewife Student Others
Number of household member(s):
Prefered collection centre to collect your card:	Jalan Ipoh SS2 Klang Miri Kota Kinabalu
Have you made any purchase from ALFO?If yes, please tick showroom(s):	Jalan Ipoh SS2 Klang Miri Kota Kinabalu
I hereby agree to join the Alfo Club and will abide by the stipulated terms and conditions. I accept that any decision made with regard to the card and membership will be final.