Contact Centre Association of Singapore

Application Form

View CCAS Corporate Profile

Additional Member Application Form

Company's Profile:

*Company's Name

Additional Corporate Member/Associates Member (#1)

*Family Name		*Given Name
*Title		*Office Phone/hp
*Email		*Facsimile

Additional Corporate Member/Associates Member (#2)

Family Name		Given Name
Title		Office Phone/hp
Email		Facsimile

Month joined:	For membership till:	Additional Corporate	Joining Fee (One time payment)	Cheque amount
Jan-07	Dec-07	$50.00	$0.00	$50.00
Feb-07	Dec-07	$45.83	$0.00	$45.83
Mar-07	Dec-07	$41.67	$0.00	$41.67
Apr-07	Dec-07	$37.50	$0.00	$37.50
May-07	Dec-07	$33.33	$0.00	$33.33
Jun-07	Dec-07	$29.17	$0.00	$29.17
Jul-07	Dec-07	$25.00	$0.00	$25.00
Aug-07	Dec-07	$20.83	$0.00	$20.83
Sep-07	Dec-07	$16.67	$0.00	$16.67
Oct-07	Dec-08	$62.50	$0.00	$62.50
Nov-07	Dec-08	$58.33	$0.00	$58.33
Dec-07	Dec-08	$54.17	$0.00	$54.17
Jan-08	Dec-08	$50.00	$0.00	$50.00
Feb-08	Dec-08	$45.83	$0.00	$45.83
Mar-08	Dec-08	$41.67	$0.00	$41.67
Apr-08	Dec-08	$37.50	$0.00	$37.50
May-08	Dec-08	$33.33	$0.00	$33.33
Jun-08	Dec-08	$29.17	$0.00	$29.17
Jul-08	Dec-08	$25.00	$0.00	$25.00
Aug-08	Dec-08	$20.83	$0.00	$20.83
Sep-08	Dec-08	$16.67	$0.00	$16.67
Oct-08	Dec-09	$62.50	$0.00	$62.50
Nov-08	Dec-09	$58.33	$0.00	$58.33
Dec-08	Dec-09	$54.17	$0.00	$54.17