MADSA Application Form
Contact Person's Name
*
First Name
Last Name
Contact Person's Email
*
example@example.com
Contact Person's Mobile NUmber (for instant messaging)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Person's Designation
*
Legal Entity Name (for invoicing)
*
Company Address
*
Company Website URL
*
How did you hear about MADSA?
*
Year Commenced Business
*
Nature of Business
*
Categories of Products Manufactured or Marketed
*
What benefits are you looking for in joining MADSA?
*
How will your company contribute to MADSA?
*
Top 3 business/regulatory issues company faces now
*
Has management agreed to join MADSA or Still Evaluating?
*
Agreed to join
Still evaluating
Is management aware that the annual membership is MYR 8,000 (or equivalent in USD at current rate for foreign companies)?
*
Yes
No
Please confirm that you have read the MADSA Rules & Constitution and attest that your company will abide with the decisions made by the majority of Members.
*
Submit
Submit
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