*	Contact Person	(full name as in I/C or Passport)
*	IC No./Passport No.	(eg. 123456-06-1234, please enter 123456061234)
*	Company Name
*	Description of Mechandise
*	Address
	Email	(eg. abc@xyz.com)
*	Contact No.	(O) (eg. 03-1234567, please enter 031234567)
		(HP) (eg. 012-1234567, please enter 0121234567)
	Fax No.	(eg. 03-1234567, please enter 031234567)
Please check and fill up where appropriate
WHOLESALE SHOP
	Nature of Business
	Area Requirement	sq ft.
	Existing (Outlet / Branch Address)
CART / KIOSK / PROMOTION SPACE
	Nature of Business
	Preferred Floor	- Please Select - Ground Floor First Floor Second Floor Third Floor Fourth Floor Fifth Floor Sixth Floor Seventh Floor
	Special Remarks
*	Required fields