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DONATION E-INVOICE REQUEST FORM
Thank you for your interest to donate to Kuala Lumpur AIDS Support Services Society.
All information is required, especially your email, by completing the form below.
* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Your donation amount
*
RM 100.00
RM 150.00
RM 200.00
RM 300.00
RM 500.00
Other:
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