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Application to Join or Renew SAOLT Membership

Full Name*

First

Father

Grandfather

Last

Job*

Degree*

Major*

Language of specialization*

Affiliation

Subcription Type*

 New  Renew

Membership No


(In case of renewing SAOLT membership)
 

Membership Type *

 Active  Associate

Address

PO Box*

Postal code*

City*

Country*

Tel*


Ex

Fax

Mobile*

Email*


A. Individuals
:
I wish to join SAOLT membership for:

1 Year (SR 200)

2 Years (SR 350)

Three Years (SR 400)

 

B. Organization
SR 1000  annually
.

 

Fees are payable to SAOLT bank account at Al Rajhi Bank (IBAN)
(Acc. # SA3780000441608010055520).

In case of wire transfer to SAOLT bank account, please enter the transaction number*

Please pay membership fees and send a notice of payment to SAOLT e-mail ([email protected] ), or by fax No. +9661 2580268

 

Payment Method:
 
check     wire transfer      Other


Signature*  

    Date* 

 

 
 

 

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