Owner Name I would like to apply to be a stockist in my city/town. I am fully aware of the policies and procedure to be a Stockist and believe that being a Stockist provides me with greater advantage in growing my network. Address I have fully understood the terms and conditions of the company and agree to abide by them. Signature Re: Designation as a Stockist in (City/Town): Email #0406StockistForm03.09 Dear Sir, Yours truly, Email: malaysia@eamega.com Email: info@eamega.com