Registration Form for Lazada Event Question Title * 1. Contact detail: Full name as per NRIC Name of Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Contact Number OK Question Title * 2. Business Registration number: OK Question Title * 3. No. of Pax (including yourself): 1 2 3 4 OK Question Title * 4. Nature of Business: Trading Services Manufacturing Other (please specify) OK Question Title * 5. If you are involving in trading, please indicate the products that you are supplying. (Can select more than 1) (Please select “Not Relevant” if you are in non-trading business) Fresh & frozen food Mobiles & tablets Computers & laptops TV, audio/video, gaming & wearable Cameras Home appliances Health & beauty Fashion Bags & travel Sports & outdoors Motors Media, music & books Groceries Digital goods Watches, sunglasses & jewellery Mother & baby Toys & games Pet supplies Bedding & bath Furniture & décor Tools, DIY & outdoor Laundry & cleaning Kitchen & dining Stationery & craft Not relevant Other (please specify) OK Question Title * 6. Years of Business Operation: Less than 1 year More than 1 year but less than 3 years More than 3 years OK Question Title * 7. Do you sell on eCommerce platforms? (Can select more than 1) Lazada 11Street Shopee Instagram Facebook Offline OK Question Title * 8. If you are existing Lazada sellers, please provide your store name at Lazada. (Please indicate NA if you are non existing Lazada sellers) OK Question Title * 9. Estimated Company Annual Sales Turnover: <RM50,000 <RM100,000 <RM500,000 <RM1,000,000 >RM1,000,000 OK Question Title * 10. Which event location would you like to attend? 23 June 2018 (Sat), 12 pm -4 pm at Tandoor Grill (9, Jalan Chin Choon Sam, 30450 Ipoh, Perak) 7 July 2018 (Sat), 11 am – 4 pm at Nexus Connection (7, Jalan Kerinchi, Bangsar South, 59200 Bangsar South City, KL) Sorry, can’t make it. Feel free to share with us the other location that you preferred: OK DONE