Giant Mall Spaces: retail space registration

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Please fill in the particulars of your company using the form below. We will contact you once your application is
approved. Allocation and availability of retail space is subject to the Terms & Conditions of GCH Retail (M) S/B
Fields marked * are compulsory.

Company Name:

*Trading Name:

Business Registration No:

*Company Status:

Bumiputra Non Bumiputra

*Correspondence Address:

Postcode:

State:

Town:

Contact No.:

Fax No.:

*Mobile No.:

*Email Address:

Website Address:

Contact Person:

Designation:

*Register Interest for Mall Retail Space:

*Nature of Business:

Merchandise Mix:

Price Range:

Target Market Group:

Location of Existing Stores:

*Area Required (sq ft):

Preferred Type:

Shop Lot

Promotion Space

Push Cart

Preferred Location:

Ground Floor

First Floor

Second Floor

Basic Amenities Required:

Electricity

Water

LPG

*Security Code:

(Enter the security code displayed below.)

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