Obsnap Instruments Sdn. Bhd.

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Dealership Registration

Dealership Registration Form
Note: Fields in red color is Compulsory.
Company Name:
Company Registration No:
Date of Incorporation:
Authorized Capital:
Paid-Up Capital:
Nature of Business:
Person In charge:
Office Phone number:
Office Fax number:
Handphone number:
Address 1:
Address 2:
City:
Postcode:
State:
Country:
Username:
Password:
Re-confirm Password:
Email Address:
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29A, Jalan SS 15/4C, 47500 Subang Jaya, Selangor Darul Ehsan. Malaysia
Tel: 603 56215786, Fax: 603 56215829, email: sales@obsnap.com