AZYMA ASSOCIATE APPLICATION FORM
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Type of Associate
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GOLD Associate (GA) - Semenanjung Malaysia
1,020.00
MYR
MOQ : 25 pax
GOLD Associate (GA) - Sabah / Sarawak
1,125.00
MYR
MOQ : 25 pax
EMERALD Associate (EA) - Semenanjung Malaysia
714.00
MYR
MOQ : 15 pax
EMERALD Associate (EA) - Sabah / Sarawak
787.50
MYR
MLOQ : 15 pax
DROPSHIP Associate (DA)
Free
MYR
Full Name
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Birth Date
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Address
*
Street Address
Street Address Line 2
City
State / Province
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American Samoa
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The Bahamas
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Country
Bank Details
*
Bank - Account Number
E-mail
*
Contact Number
*
-
Area Code
Phone Number
Website
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How did u hear about us?
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Do u have any experience in sales?
Please select
Yes
No
Where u plan to start your business?
Area / District
When u plan to start your business?
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Day
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Month
Year
Date
Refferal Name
Regional Associate (RA) / Authorized Associate (AA)
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