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Borang Pendaftaran Kelab EMB
EMB Club Registration Form
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* Indicates required question
Email
*
Your email
1. Name / Nama:
*
Your answer
2. No Telefon / Phone number:
*
Your answer
3. Umur / Age:
*
21 - 30
31 - 40
41 - 50
51 keatas / above
4. Jantina / Gender
*
Lelaki / Male
Perempuan / Female
5. Saya bersetuju untuk menerima tawaran istimewa pembekal setelah pihak EMB beroperasi sepenuhnya / I agree to receive vendors special offer once EMB is fully operational.
*
Ya / Yes
Tidak / No
Send me a copy of my responses.
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