Patron Membership (Lifetime)

Info Payment
Your Info

Name

Phone

Email

Website

Company Name(s)

Position

Type of Business (Retail/ F&B/ Services)

Number of Brand/Shop name/Mono brand own? (Please fill in a numeric answer)

Number of Staff With No Levy (Please fill in a numeric answer)

Number of Staff With Levy (Please fill in a numeric answer)

Total Retail Space Occupied (please put numeric answer in SQFT)

Enterprise

Store Names

Shop locations (if the mall is not listed, please enter manually under OTHERS)

Others (Fill in shop location if not found in above list):Optional

Drop in Sales

Remarks and suggestions to help your business immediatelyOptional

Do you wish to reveal your name for media purposes?

Please use a personal headshot portrait for the profile picture.
Please use a personal headshot portrait for the profile picture.