Full Name*: Email Address*: Phone Number*: Company Name*: Company Address*: Assigned Consultant*:(if any – if none, please write “None”) Which industry are you from?*:(You may select the one that best fits your business or professional background) Select OneF&B (Food & Beverage)Fashion & ApparelBeauty & Personal CareEducation & TrainingTech / Software / App DevelopmentCreative Industry (Design, Photography, Content Creation)Retail / E-commerceManufacturing / Product DevelopmentLegal / IP ServicesOthers Please specify your industry: Select Payment Option*: [radio* payment-option use_label_element "Payment 1" "Payment 2"] Promo Code (if any): Total Price: Please specify your industry: Consent to Use and Disclose Contact Information. By submitting and acknowledging this application form, You authorize NBS Intellectual Sdn Bhd (“NBS”) and related Departments to publish Your contact information for the purposes of communicating provider services to clients, unless You advise NBS otherwise in writing. You further authorize NBS to disclose Your contact information to third parties for the purpose of conducting surveys measuring provider satisfaction with NBS services as well as extending subsequent promotional activities.
