Brand Concept *

Ownership of Brand Name/Concept *

Company

Distributor

Franchise

Company Name *

Distributor Country Origin *

Choose Mall *

Choose Mall* Al Jimi Mall Yas Mall World Trade Center Abu Dhabi Al Hamra Mall Other

Estimated Sales *

Currency *

Currency * AED USD SAR OMR QAR

Min Space Required *

Max Space Required *

Preferred Space

Unit

Sqm

Sqft

Contact Person *

Company Name *

Designation *

Address *

Phone *

Mobile *

Email *

Proposed Retail Store *

Authorized Signatory *

UAE Store Locations *

Comments *