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Be MY Hero - Fund Zone
Donation in kind, kindly fill up the donation form! We will contact you soon. Thank You for your support!
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* Indicates required question
Name 姓名
*
Your answer
Hp Number 手机号码
*
Your answer
Company Name (if Applicable) 公司名字 (如有）
Your answer
Which State You are from? 您来自的州属？
*
Kuala Lumpur
Selangor
Negeri Sembilan
Melaka
Johor
Perak
Penang
Kedah
Perlis
Sabah
Sarawak
Terengganu
Kelantan
Other:
Donation Item 物资种类
*
Your answer
Quantity 数量
*
Your answer
Total Value 物资总额
*
Your answer
Other Remarks
Your answer
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