The Pig Farmers Relief Fund
Fighting the Virus Crisis is
Everybody's Business.

Make a micro donation of RM50, RM100 (or any amount) to The Pig Farmers Relief Fund. Print and mail this form with your payment.

CONTACT INFORMATION
 

Name
Position
Company
Address

Email		Tel (O)
Fax		Hand Phone

By Cheque / Bankdraft:
RM: Cheque #:
crossed and made payable to:

       Federation of Livestock Farmers' Associations of Malaysia
        93A Jalan SS15/5A, 47500 Subang Jaya
        Selangor Darul Ehsan, MALAYSIA.
        Tel: (03) 733 1779 / 6955  Fax: (03) 734 2015
        Email: flfam@tm.net.my
 

Please tick where appropriate:

My cheque is on the way, please call me if you do not receive it.

Please arrange for someone to pick up my cheque and yes, I am living in Kuala Lumpur/Selangor.

ADDITIONAL REMARKS / QUESTIONS:

  GENTLE REMINDER:
Please ensure your contact numbers and email address above are correct.

If the above information is correct, 
If you wish to change any entry or start over, 

Viral Encephalitis BattleGround





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Save Lives. Please circulate this to fellow Malaysians.