Name of Company/Shop: |
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| Products/ Services (Kindly list down): |
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| Name: |
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| I/C no.: |
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| Contact Number: |
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| Email Address: |
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| How did you know about Let's Bazaar @ The19 USJ CITY MALL? |
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| Choose Your Day/'s (special discount for taking 3 days a week) | Friday
Saturday
Sunday
Friday,Saturday,Sunday
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| Please state down the dates: (ex:18,19,20 Feb) |
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| How Many Booth Needed: |
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| How Long Would You Like To Participate With Us: |
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| Other Requirements/ Comments/ Ideas/ Recommendations: |
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