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Listing Request Form
Request to be put up on our website!
please contact '
feedmalaysia@gmail.com
' for enquiries.
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* Indicates required question
Email
*
Your email
Establishment Name
*
Your answer
State(s)/Federal Territory
*
Selangor
WP Kuala Lumpur
Kedah
Perlis
Perak
Kelantan
Terengganu
Melacca
Negeri Sembilan
Johor
Pahang
Penang
WP Labuab
Sabah
Sarawak
WP Putrajaya
Required
District (e.g Petaling)
*
Your answer
Address
e.g. 111, Jalan ABC, Taman DEF, 43210 State
Your answer
What does your establishment do?
*
Receive Donations
Receive Material Goods
FoodBank
Other:
Required
Website Link (If Applicable)
Your answer
Social Media (e.g @feedselangor Instagram)
Your answer
Contact Number
*
Your answer
Operating Hours
*
Your answer
Other details (eg. Do recipients need to make an appointment? / Criteria that recipients of aid need to meet / Donation details )
Your answer
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