Member Registration Form

New Member Registration Form

Particulars

*Required Fields

LSB Member

Yes No

Membership no.
(Numeric ONLY)

For existing LSB Member, please fill-in.

*Title

*Name

*Mailing Address

*Contact No

Alt. Contact No

*Date of Birth

No.of Children

Your Email

Your Password

(max. 8 characters)

Confirm Password

Preferred Payment Term
	Cash upon Delivery
	Cheque upon Delivery
	Monthly Payment (LSB members only)

Faith Kidz Haven Membership (FKH)

Dear Value Members, would you like your child to be part of theFaith Kidz Haven?

If you do, please fill in the following.

If not, skip the BELOW application below, please click "submit" to proceed your adult membership only.

Faith Kidz Haven membership is ONLY open to LSb members' kids.
(See below for terms and conditions)

Your children's
Names,
Ages
& Birthdays

	If you wish to become FKH member, please check the box before submit.
	One time $10 PER child (ie. two children $20)
-	Membership is confirmed only when registeration fee have received
-	Send cheque addressed to YAP GEOK LIAN and mail to Blk 838 Woodlands St 82 #02-259 S730838 or
-	Make a fund transfer to POSB saving a/c 178 12067 0

(Please submit only once.)

You will receive an email confirmation of your registration.