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Account Application Form
Please fill in the form below to register as our corporate member:
Contact Person:
*
Position:
Company Name:
*
Company No.:
Address 1:
*
Address 2:
City:
Zip/ Postal Code:
*
State:
*
\n
Selangor
Johor
Kedah
Kelantan
Kuala Lumpur
Labuan
Malacca
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Putra Jaya
Sabah
Sarawak
Terengganu
Country:
*
\n
Malaysia
Outside Malaysia
Office Phone:
*
Mobile phone:
Office Fax:
Email:
Customer Status:
\n
Existing Customer
New Customer
Estimated monthly spending on office supplies:
\n
RM0~RM500
RM501~RM2,000
RM2,001~RM5,000
RM5,001~RM10,000
>RM10,000
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