Registration

Profession*
Sector*

MDC#*
First Name*
Last Name*
Email Address*
Re-enter Email Address*
Password*
Re-enter Password*
Password must be at least 6 characters long and contain at least one number, capital letter or special character.

 

Clinic Name*
Address*
City*
State*
Postal Code*
Phone*

The information you provide in this form will be stored and used by Colgate-Palmolive to register you as a user of this website. We may also contact you by phone or email from time to time (using the contact details you have provided) to inform you about our products and/or services. If you would like to amend your personal information or stop receiving such information you can contact us at any time at consumer_affairs_malaysia@colpal.com.

See our Privacy Statement for more details about our privacy policy.

Mail us

Malaysia:
Consumer Affairs-POC
Colgate-Palmolive Sdn. Bhd
Jalan Semangat/Jalan Bersatu,
Section 13, Petaling Jaya,
46200 Selangor

Phone us
1-800-883-918