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Membership Registration Form
Name :
NRIC : e.g. 800101105001
Date of Birth :
Gender :
Mailing Address :
Contact No : e.g. 0123456789
Email Address :  

  • Membership is open to all Malaysian residents aged 18 and above.
  • Members are responsible for providing up-to-date, accurate and detailed personal information.
  • VitaHealth will collect personal information from Members (such as name, address, phone number, e-mail address, birthday, etc.) as part of the VitaHealth Family Club membership program.
  • VitaHealth may use your personal information to administer this membership program, to communicate with you regarding this program, and to provide information about its products and promotions. VitaHealth will retain your personal information as long as it is reasonably necessary for these purposes.
  • VitaHealth will not disclose your personal information without your consent, except in specific circumstances where such disclosure is required by law.
  • VitaHealth shall not be responsible for any loss of data or for any loss that may occur to any Member in the event of failure of the database system or for any other reason whatsoever.
  • VitaHealth reserves the right to amend these membership benefits, discounts, terms and conditions at any time, at its sole discretion, and without prior notification.
  • By signing up for the VitaHealth Family Club membership program, you are deemed to have accepted and agreed to abide to the terms and conditions herein.
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