Free MIMS Pharmacy Patient Counselling Guide 2018/2019 for Life Members, in conjunction with World Pharmacists Day 2018 Please fill in your personal particulars: Question Title * 1. Name Question Title * 2. I/C (new) Question Title * 3. Gender Male Female Question Title * 4. MPS membership no. Question Title * 5. Type of practice Hospital Retail Organization Other (please specify) Question Title * 6. Contact details Practice name Mailing address Postcode Office telephone no. Mobile no. Fax no. Email address Question Title * 7. Click here to subscribe to MIMS Malaysia at special rates exclusive to MPS members only! (valid till 31st December 2018)Please download and fill in the subscription form here Please upload the completed subscription form DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload the completed subscription form Done