MALAYSIAN CONTRACT BRIDGE ASSOCIATION

MEMBERS' CONTACT LIST PARTICULARS & CONSENT FORM

Some members have requested a
contact list for their convenience to arrange partners and/or teammates,
particularly for tournaments.  In
order to safeguard the privacy of members, please complete this form and sign
your consent to be placed on such a list, which will be distributed only to
MCBA members who have similarly given their consent.

i)
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

ii)
I undertake not to make copies or distribute the
contact list, either in printed or electronic form to non-members of MCBA

iii)
I undertake not to post the contact list on any website

iv)
I agree to receive updates of the contact list either
in printed or electronic form

Member's
name.....................................................................Signature............................

Address.............................................................................................................................

..........................................................................................................................................

......................................................................................................Postcode......................

Phone (home)................................(office)..............................Mobile..............................

e-mail............................................................................................Date............................

tick here if you prefer to receive updates by email

Mark 'x' any items which you do
not wish to be circulated

MCBA's
website www.mcba.org.my

email
[email-masked]

After completion and signature,
please return this to any Committee Member, post to the Hon. Secretary MCBA or
scan and email to MCBA's email address above.