New Customer Registration Form

1
Your assigned personal retail agent is Dan Rosso - Senior ManagerPlease fill out the rest of this form so Dan can help you find the most suitable space for your business.
2
Contact Name* This field is required.
First Name
Last Name
3
Phone Number* This field is required.
4
E-mail* This field is required.
example@example.com
5
Your Business Trading Name (As per your trade license)* This field is required.
6
How many other outlets do you have?* This field is required.
Please Select
Please Select
This will be our first
1
2
3
4
5+
7
It is exciting that this will be your first outlet!* This field is required.As this is a new concept, we require a Brand Deck. This needs to include: .................................................................. Your Brand Name and Design Your Position in the Market Your Target Demographic Information about the Founders Projected Sales Figures / Brief Business Plan .........................................................................
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8
Your business' website / Instagram / Facebook Page
9
Please describe your business in one sentence* This field is required.
10
Which location are you interested in?* This field is required.You can select multiple locations of interest.
Please Select
I want to enter the location/s manualy
Al Barsha
Al Ittihad Road Diera
Al Jaddaf
Al Quoz
Al Rashidiya
Al Safa 2
Al Sufouh
Al Sufouh 2
Al Wasl
Barsha 1
Barsha Heights
Bluewaters Island
Bur Dubai
Business Bay
Deira
DIFC
DIP
Discovery Gardens
Dubai Creek
Dubai Harbour
Dubai Healthcare City
Dubai Internet City
Dubai Marina
Dubai Media City
Dubai Silicon Oasis
DWTC
EXPO 2020
Garhoud
JAFZA
Jebel Ali
JLT
Jumeirah Golf estates
Knowledge Village
Mirdif
Palm Jumeirah
Port Saeed
Production City
Sharjah
Sonapur
SZR
WTC/ SZR
Zabeel Road
11
Manual Location Entry
12
Which size property (SqFt)* This field is required.
Please Select
Please Select
500
1,000
2,000
3,000
4,000
5,000
7,500
10,000
15,000
20,000
Minimum
Please Select
Please Select
500
1,000
2,000
3,000
4,000
5,000
7,500
10,000
15,000
20,000
25,000
30,000
35,000
40,000
50,000
60,000
70,000
Maximum
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Your ideal budget (Per Annum AED)This will not affect your negotiations. It is so we can offer relevant options that suit you.
Please Select
Please Select
50,000
60,000
70,000
100,000
110,000
125,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
600,000
650,000
700,000
750,000
1,000,000+
14
How did you hear about us?* This field is required.
Please Select
Please Select
Dubizzle
Property Finder
Google
Social Media
Word of Mouth
15
Are you happy for us to store your contact details and contact you?* This field is required.
YESNO
Should be Empty: