Application Form





Name of Company/Shop:


Products/ Services (Kindly list down):
Name:
I/C no.:
Contact Number:
Email Address:
How did you know about Let's Bazaar @ The19 USJ CITY MALL?
Choose Your Day/'s (special discount for taking 3 days a week) Friday
Saturday
Sunday
Friday,Saturday,Sunday
Please state down the dates: (ex:18,19,20 Feb)

How Many Booth Needed:
How Long Would You Like To Participate With Us:
Other Requirements/ Comments/ Ideas/ Recommendations: