Squash Your Fitness Goals with Nicol David Registration

Jom! Live with Vitality Registration

Join us at JOM! LIVE WITH VITALITY on 11 June 2022 at Laman Cergas AIA Vitality, Taman Metropolitan Kepong. We have a lot of interesting activities and you may get a chance to win our grand prize - Gintell running treadmill with our lucky draw.

All fields marked with * are mandatory.

Full name as per NRIC / Passport

NRIC / Passport Number

Nric/Passport number is invalid

Email address

Email is invalid

Phone

Invalid phone number

Agent code

You may also register a maximum of two (2) participants aged 17 and below to attend JOM! LIVE WITH VITALITY with you on 11 June 2022.

Fill in the details below if you are interested:

Child 1

Full name as per NRIC / Passport

NRIC / Passport Number

NRIC/Passport number is invalid

Child 2

Full name as per NRIC / Passport

NRIC / Passport Number

NRIC/Passport number is invalid

I confirm that I am 18 years old an above, and I have read, understood and accept the Terms & Conditions of this Event. I agree that any personal information collected or held by AIA Malaysia may be disclosed by AIA Malaysia to its selected (Note. Please refer to AIA Malaysia Privacy Notice @ http://www.aia.com./en/index/privacy-statement.html for further details)

I agree and consent to my personal information or details being processed and used by AIA Malaysia for the purpose of marketing and publicity notification/information for its product.

Thank You!

Your submission has been received.

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