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  • CPSM Membership Application Form

  • Yes! I would like to be a part of Child Passenger Safety Malaysia (CPSM) and pledge to eliminate traffic injuries and death involving children by participating in the coalition through community action, educational interventions, public policy initiatives, and media efforts to advocate for child restraint usage in Malaysia.

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  • I understand that acceptance of this application by CPSM does not constitute permission to use the Child Passenger Safety Malaysia logo, name or materials without first receiving approval from CPS Malaysia PLT. CPS Malaysia PLT will not authorize and will not permit any member of the coalition or non-coalition member to authorize any person or organization to use the name and trademarks to promote its products or services for endorsement or other commercial purposes.

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