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Name :
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Company Name
(if any)
:
Address :
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Tel No.
*
(e.g: 03-12345678)
Fax No.
H/P No.
Email Address :
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Nature of Business :
Select your nature of business
Audio/Video
Beauty Salon
Bookstore
Café
Computer
Electrical
Food & Beverage
Fashion Accessories
Foot Wear
Gifts / Souvenir
Home Furnishing
Hair Salon
Hardware
Kids Apparel
Ladies Apparel
Men Apparel
Pharmacy
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Community Activities
If others, please specify :
Existing Outlet :
[Complex Name]
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100 x 100
200 x 200
300 x 300
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BUSINESS HOURS
: 10am-10pm Daily
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