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ACM
  • Contact Us

    Contact Us

    General Enquiries   Advertising Requests   Reports and Complaints

  1. Please fill in the form below for any enquiries, advertising and complaints or alternatively send an email to enquiry@chiroacm.org


  2. *


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  3. Your Name*
    Please let us know your name.
  4. Are you a current ACM Member?*
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  5. ACM Membership Number*
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  6. Your Email*
    Please let us know your email address.
  7. Phone Number
    Please write a subject for your message.
  8. Company/Practice Name*
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  9. Company/Practice Location*
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  10. Nature of Advertisement*



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  11. *
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  12. Date to post advertisement*

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  13. Advertisement Title*
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    (Maximum 50 characters)
  14. Message/Text for Advertisement
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  15. Advertisement Poster
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    For the best view on our website, it is recommended that the poster be in landscape mode and 1000 x 600 pixels (JPEG/PNG file size < 2MB)
  16. How would you like to pay the advertising fee?*
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  17. CLICK THE BUTTON BELOW
     to open a new window/tab to our secure online payment gateway at Billplz
  20. Please Upload Payment Proof*
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    PDF maximum 5MB
  21. Please transfer/bank in your membership fee to
    Bank : CIMB
    Account number : 8002360559
    Account Name : Persatuan Kiropraktik Malaysia

    Please include the following in the transaction slip
    1. Amount of deposit (RM)
    2. Date of deposit
    3. Beneficiary account number
    4. Cheque number (only for cheque deposit)
    5. Cheque Issuing Bank (only for cheque deposit)

  22. Details of report/complaint*
    Please let us know the reason of report/complain
  23. What is the name of the company being reported?
    Please write the reported company name!
  24. Any specific individual?
    Please write the reported person name!
  25. Do you have any picture/screenshot evidence?
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    Please attach (JPG, JPEG, PDF)
  26. Subject*
    Please write a subject for your message.
  27. Message*
    Please let us know your message.
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  29. Thank you for advertising with Association of Chiropractic, Malaysia.

    Please read through the following terms and conditions carefully.
    1. Only one poster per advertisement in allowed
    2. Requests must be submitted using this form at least two (2) weeks before the date requested to be advertised.
    3. Spaces are available on a first come first serve basis
    4. A RM500 fee will be imposed per advertisement. The advertisement will be posted for public view on our website, official ACM Facebook page and official Instagram account for 60 days only.
    5. The current members of ACM are entitled for 25% discount at a price of RM375 per advertisement. However, this discount will only be applicable if the request is received from a member (registered chiropractor) of ACM, not the administration staff of the member’s clinic.
    6. Association of Chiropractic, Malaysia reserves the right to refuse any advertisement it deems inappropriate and does not endorse any product through its permission to advertise.
    7. These conditions may change with amendments in policies and regulations of the Association.
    8. For further enquiries, please do not hesitate to contact us through website@chiroacm.org