LOCATION AGENT FORM | Tao Bin Malaysia

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LOCATION AGENT SUBMISSION

Agent Details

Full Name*

Phone Number (Mobile)*

Email Address*

Proposed Tao Bin Installation Location

Location Name*

Location Address*

Type of Location*

Rental Fee*

Estimated Number of Pedestrian Traffic*

1-300

301-500

501-1000

1000 or more

Estimated Consumption (Number of Cups Per Day)*

20-30

30-40

40-50

50-60

60 and above

Description of Installation Area

Pictures of Installation Area*

Person In Charge (PIC)

Person In Charge (PIC) Name*

Person In Charge (PIC) Phone Number*

Person In Charge (PIC) Position*

I hereby acknowledge that I have read and agree with the terms & conditions

I hereby acknowledge that I have read and agree with the campaign terms & conditions

TAO BIN SDN. BHD.

49-3, Block G, Jalan PJU 1/37, Dataran Prima,

Petaling Jaya, 47301 Selangor, Malaysia

Contact Us, For other enquiries.

Customer Support :

+601 8201 8883 (WhatsApp Only)

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