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Membership Registration
* Indicates required question
Name
*
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Sex
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Female
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Race
*
Chinese
Malay
Indian
Other:
Age
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Under 18
18 - 25
26 - 35
36-45
Above 45
E-mail
*
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Contact No.
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example format 012-3456789
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Location
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Klang Valley
Penang
Johor
Sabah
Sarawak
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