Book Contribution Form

Book Contribution Form

An event to purchase life books for in need children and teens. We welcome your contribution to support our lifebook campaign. Your generosity is highly appreciated. We wish that the power of love may promote more positive life values among children and teens.

I am willing to support and promote the book contribution campaign

Amount of Books I would like to donate*

If random, please specify number of books

Do you have any particular persons/organization to contribute the book to?

If Yes, please specify

How do you prefer to deliver the books?

Contributor's Details

Name (Chinese)

Name as per IC (English)*

Identity Card No. (Example: 990504145558)*

Address Line 1*

Address Line 2

Postcode*

City*

State*

Country*

Contact No. (Example: 0388889999)

Email Address*

Acknowledgement and Declaration

I have read the Personal Data Protection Act (2010). I agree and believe that Azon will provide good supervision throughout the activity. I understand that in any unforseen circumstances, Azon shall not bear any legal responsibility.

I agree*

My Identity Card No. (Example: 801205069657)*

ReCaptcha

Address

E-03-22 IOI Boulevard, Jalan Kenari 5, Bandar Puchong Jaya, 47100 Puchong, Selangor, Malaysia.

Email

info@azon.my

Telephone

Existing/Registered Client Support Hotline
+6(011) 1431 0558

Child Learning & Development Assessment/
Psychological Service Appointment Booking Hotline
+6(019) 297 1431

Service/Event Inquiry，Non-Profit/Charity & Recommendation
+6(019) 231 7154

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