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* 1. Contact Person's Name

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* 2. Contact Person's Designation

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* 3. Contact Person's Email

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* 4. Contact Person's Mobile Number for Alternate Communication via WhatsApp, Telegram or Signal

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* 5. Legal Entity Name (this will be used for invoice)

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* 6. Company Address

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* 7. Company Website

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* 8. How did you hear about MADSA?

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* 9. Year Commenced Business

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* 10. Nature of Business

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* 11. Categories of Products Manufactured or Marketed

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* 12. What Benefits Are You Looking For In Joining MADSA?

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* 13. How Will Your Company Contribute To MADSA?

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* 14. Top 3 Business/Regulatory Issues Company Faces Now

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* 15. Has the Management of your company agreed to join MADSA or still considering it?

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* 16. Are you aware that the annual membership fee is MYR 5,000 for a 12-month period? *

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* 17. Please download and go through the Rules & Constitution of MADSA and Agree that your organisation shall adhere to all decisions made by the Members and or Council, before submitting this form - Rules & Constitution

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