MADSA Corporate Application Form Question Title * 1. Contact Person's Name Question Title * 2. Contact Person's Designation Question Title * 3. Contact Person's Email Question Title * 4. Contact Person's Mobile Number for Alternate Communication via WhatsApp, Telegram or Signal Question Title * 5. Legal Entity Name (this will be used for invoice) Question Title * 6. Company Address Question Title * 7. Company Website Question Title * 8. How did you hear about MADSA? Referred by a MADSA Member MADSA Website MADSA Facebook Page Other (please specify) Question Title * 9. Year Commenced Business Question Title * 10. Nature of Business Question Title * 11. Categories of Products Manufactured or Marketed Question Title * 12. What Benefits Are You Looking For In Joining MADSA? Question Title * 13. How Will Your Company Contribute To MADSA? Question Title * 14. Top 3 Business/Regulatory Issues Company Faces Now #1 #2 #3 Question Title * 15. Has the Management of your company agreed to join MADSA or still considering it? Management has agreed to join Management is still considering Question Title * 16. Are you aware that the annual membership fee is MYR 5,000 for a 12-month period? * Yes No Question Title * 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 Yes No Done