We would like to invite about 20 pax of professional dentists to join our toothbrushes survey. All you need to do is test our toothbrushes and answer few simple questions, and you can get token appreciation* worth RM100 for your participation 

To whom may interested, kindly provide your details as below and we shall contact you shortly:

- Full Name (as per IC)
- Gender
- Age
- Contact Number
- Email address
- Name of Dental Clinic
- Address of dental clinic (for us to courier the toothbrush to you)

Email to : This email address is being protected from spambots. You need JavaScript enabled to view it.

* token appreciation will be courier once the sample toothbrushes and complete survey form has been receive by the company