Book Order Form - Healthcare Reform: Healthier Future For Malaysia

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Thank you for your interest in purchasing the book "Healthcare Reform: Healthier Future For Malaysia." Please fill out the following details to place your order.

Upon submitting this form, our team will review your order and contact you to confirm the details and arrange payment and delivery. Thank you for your interest in purchasing "Healthcare Reform: Healthier Future For Malaysia" Book.

1. Full Name: *

2. IC Number: (For membership verification) *

3. Email: *

4. Contact Number: *

5. Book Quantity: *

Number of copies that you would like to buy:

Required

6. Book Price: *

MMA Member : RM 40 per copy (excluding courier charges)

Non-member : RM 50 per copy (excluding courier charges)

Required

7. How would you like to receive the book?
*

Please select your preferred method:

Self-collect from MMA House, 124 Jalan Pahang, Kuala Lumpur (No delivery charges)

Via Courier (Courier charges apply: Klang Valley – RM20.00 | Outside Klang Valley – RM20.00 | East Malaysia – RM30.00]

Required

8. Shipping Address: *

9. Comments or Questions:

Any specific instructions or questions related to your order?

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