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Applicant Name

Email Address

Contact Number

Company Name

Designation

Nature of Business Select Field Agriculture and Fishing Mining and Quarrying Manufacturing Electricity, Gas and Air-Conditioning Supply Water Supply; Sewerage, Waste Mgm't and Remediation Activities Construction Wholesale and Retail Trade Transportation and Storage Accommodation and Food Service Activities Information and Communications Financial and Insurance Activities Real Estate Activities Professional, Scientific and Technical Activities Administrative and Support Service Activities Public Administration and Defence Education Health and Social Services Arts, Entertainment and Recreation Please specify

Address line 1

Address line 2

Country Select country singapore Australia China Europe India Indonesia Japan Korea Thailand UAE USA

City

Postal Code/Zip Code

Type of Franchise
Franchise Wholesale

Brief description of your current Business/Employment

Level of Interest
Stand-alone Retail Store Multiple units within a city/province/state
Whole country

*Indicate the territory you are interested to operate the franchise in: Select country Singapore Australia China Europe India Indonesia Japan Korea Thailand UAE USA

*Indicate the State City/State you are interested to operate the franchise in:

Do you currently have any retail points of sale? If so, please provide details on location and merchandise.

How did you know about Les affaires?
Flagship store at Wisma Consignment stores Advertisements Les affaires official website Facebook Other Online Forums/websites Google Word of Mouth

Additional Information