Payments must be made into any Branch of ZENITH BANL PLC Nationwide. Account Number: 1011589511. All Payment Slips shoul
CHARTERED INSTITUTE OF CORPORATE MANAGEMENT & STRATEGIC PLANING (REGISTERED IN TEXAS, USA NO. 802444996) AFRICA REGIONAL OFFICE #34 OGBOROAMA STREET, RUMUOKWURUSI, PORT HARCOURT,RIVERS STATE, NIGERIA. TEL: 08084366238
REGISTERED OFFICE 606 ORIOLE BLVD SUITE 100A DUNCANVILLE, TX 75116 USA TEL: +1 817 891 2676, FAX: 972 708 9292
WEBSITE: www.icmspng.org | EMAIL:
[email protected]
MEMBERSHIP APPLICATION Attach two passport photos for your Membership Identification Card
Category of Membership Applied For: _________________________________________________________________ Names in Block: ___________________________________________________________________________________ Title/Position: _______________ Gender: ___________ Age: _________ Nationality: __________________________ Local Government: ________________________________ Business Name: __________________________________ Address: __________________________________________________________________________________ Professional/Academic Qualifications: ___________________________________________________________ Are you a Member of any Professional/Trade Association? YES__________________ NO_______________________ If Yes, Names: ____________________________________________________________________________________ Type of Business/Product of Service Line: ______________________________________________________________ Office Telephone/Fax Number: __________________________ Home Telephone: _____________________________ E-mail:_________________________________________ Website: _________________________________________ How did you hear about ICMSP? _____________________________________________________________________ Would you like to serve in any ICMSP Committee? ______________________________________________________ (Optional) if YES, choose one: Tick one Conference Committee ________________ Membership/Chapter Development Committee ___________________ (Fund Raising Committee__________________ Education and Training Committee _____________________ * ICMSP will notify members of their chosen
MEMBERSHIP FEE SCHEDULE Student – ₦25,000 (USD 67) | Associate – ₦75,000 (USD 202) | Full Member – ₦90,000 (USD243)| Fellow – 150, 000 (USD 405.00)| Corporate – ₦500,000 (USD 1351)| (ASSOCIATE MEMBER: FOR NYSC MEMBERS ONLY) – ₦45,000 (USD 121) Corporate and individual membership fees are payable on Application for Membership. Photocopies of available credentials must follow application for membership decision purposes. The decision of the Membership Committee is final.
AmountPaid______________________________________________________________________________ Payments must be made into any Branch of ZENITH BANL PLC Nationwide. Account Number: 1011589511. All Payment Slips should be forwarded to the institute.
Signature________________________________ Date: ___________________________________________
