Tenant Registration Form

Tell us about your brand, we need a few detail information in order to verify your identity of your ownership about your brand.

Owner Name *

Street *

State *

City *

Zip *

Country *

NIK/ID KTP *

Bank Account *

NPWP *

Phone Number *

Mobile *

Your Email *

Company Name *

Brand Name *

Brand Logo *

Number of Outlet *

Number of Team *

Business Category *

Instagram *

Highest Price *

Lowest Price *

List Product *

List product has a name, category, description, photo, price, and link to photos. Download template form here

Submit

Terimakasih, informasi pendaftaran anda kami terima