OT Malaysia Corporate Member Registration
We would like to invite all organisations / companies / hospital / centres / nationwide to become our Corporate Member as part of our strategic networking activities. Once this form has been submitted, our team will contact you very soon to complete the registration (payment etc).
Organisation Name
*
e.g. Medical Supplies Sdn Bhd, Hospital Perwira
Email
*
example@example.com
Organisation Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Contact Person's Name
*
Contact Person's Mobile Phone Number
*
Nature of Operation/Business/Activity
*
e.g. selling products, service, treatment, consulting etc
Website
www.example.com
Facebook Page/Group
Upload your business/organisation logo
*
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