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<div class=3DSection1>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'>MALAYSIAN CONTRACT BRIDGE ASSOCIATION<o:p></o:p></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'>MEMBERS' CONTACT LIST PARTICULARS &amp; CONSENT FORM<o:p></o:p></b>=
</p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><o:p>&nbsp;</o:p></b></p>

<p class=3DMsoNormal style=3D'text-align:justify'>Some members have request=
ed a
contact list for their convenience to arrange partners and/or teammates,
particularly for tournaments.<span style=3D'mso-spacerun:yes'>&nbsp; </span=
>In
order to safeguard the privacy of members, please complete this form and si=
gn
your consent to be placed on such a list, which will be distributed only to
MCBA members who have similarly given their consent.</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'margin-left:54.0pt;text-align:justify;text-in=
dent:
-36.0pt;mso-list:l0 level1 lfo1;tab-stops:list 54.0pt'><![if !supportLists]=
><span
style=3D'mso-list:Ignore'>i)<span style=3D'font:7.0pt "Times New Roman"'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span><![endif]>I agree to place the following details in a contact
list to be made available in printed or electronic form to members of MCBA =
who
have signed a similar consent</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'margin-left:54.0pt;text-align:justify;text-in=
dent:
-36.0pt;mso-list:l0 level1 lfo1;tab-stops:list 54.0pt'><![if !supportLists]=
><span
style=3D'mso-list:Ignore'>ii)<span style=3D'font:7.0pt "Times New Roman"'>&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span><![endif]>I undertake not to make copies or distribute the
contact list, either in printed or electronic form to non-members of MCBA</=
p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'margin-left:54.0pt;text-align:justify;text-in=
dent:
-36.0pt;mso-list:l0 level1 lfo1;tab-stops:list 54.0pt'><![if !supportLists]=
><span
style=3D'mso-list:Ignore'>iii)<span style=3D'font:7.0pt "Times New Roman"'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;
</span></span><![endif]>I undertake not to post the contact list on any web=
site</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'margin-left:54.0pt;text-align:justify;text-in=
dent:
-36.0pt;mso-list:l0 level1 lfo1;tab-stops:list 54.0pt'><![if !supportLists]=
><span
style=3D'mso-list:Ignore'>iv)<span style=3D'font:7.0pt "Times New Roman"'>&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;
</span></span><![endif]>I agree to receive updates of the contact list eith=
er
in printed or electronic form</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'>Member's
name.....................................................................Si=
gnature............................</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'>Address..................=
...........................................................................=
................................</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'>.........................=
...........................................................................=
......................................</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'>.........................=
...........................................................................=
..Postcode......................</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'>Phone (home)<span class=
=3DGramE>................................(</span>office)...................=
...........<st1:place
w:st=3D"on"><st1:City w:st=3D"on">Mobile</st1:City></st1:place>............=
..................</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span class=3DGramE>e-mai=
l</span>...................................................................=
.........................Date............................</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;</span><span
class=3DGramE>tick</span> here if you prefer to receive updates by email</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'>Mark 'x' any items which =
you do
not wish to be circulated</p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span class=3DSpellE>MCBA=
's</span>
website <a href=3D"http://www.mcba.org.my/">www.mcba.org.my</a></p>

<p class=3DMsoNormal style=3D'text-align:justify'><span class=3DGramE>email=
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><a href=3D"mailto:mcbaKL@yahoo.com">mcbaKL@yahoo.com</a></p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'>After completion and sign=
ature,
please return this to any Committee Member, post to the Hon. Secretary MCBA=
 or
scan and email to <span class=3DSpellE>MCBA's</span> email address above. <=
/p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'text-align:justify'><o:p>&nbsp;</o:p></p>

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