The Petri Dish Subscription Form
Kindly fill up the form to subscribe to The Petri Dish.
Name *
Your answer
Delivery Address *
Full adress
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Email *
Your answer
Contact Number *
Handphone (eg: 012-3456789) or Office No. (03-12345678)
Your answer
How many copies per month? *
The Petri Dish is RM8/copy/month or USD8/copy/month
Your answer
Starting issue *
Choose your starting issue. (month/year) eg: Jan 2014
Your answer
Ending issue *
Choose your ending issue. Make sure the subscription period is minimum for 12 months. (month/year) eg: (Dec 2014)
Your answer
Total Payment *
Number of copies x RM8 or USD8 x Number of months
Mode of Payment *
Payment should be made to MALAYSIAN BIOTECHNOLOGY INFORMATION CENTRE BHD. Maybank Berhad (Account No. 512316514226). Please send us the proof of transaction (reference code: SUBSCRIBE) to
Do you need a receipt ?
Receipt will be issued upon request
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