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—Please choose an option—Personal TrainerMembership ConsultantInternCreative Intern
—Please choose an option—EkoCherasPetaling JayaBukit Bintang
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Name*
Contact Number*
Email*
Gender
MaleFemale
Age
Branch*—Please choose an option—Seventeen Mall, Petaling JayaEkoCheras Mall, CherasLaLaport Mall, Bukit Bintang
Branch*—Please choose an option—EkoCheras Mall, CherasSeventeen Mall, Petaling JayaLaLaport Mall, Bukit Bintang
Position* —Please choose an option—Membership ConsultantPersonal TrainerPersonal Trainer InternshipGroup Class InstructorOthers
Class Pass—Please choose an option—YogaAerial YogaZumbaBelly DanceSh'bamLine DanceBodypumpRPMTai ChiMuay ThaiKickboxingPiloxingOthers
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