Apply as Business Partner - Waisence®

“Partnership for mutual success”

At Waisence, our aim is to work collaboratively and effectively with our retail partner for mutual and sustainable benefit.

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Name

First

Last

Layout

Email

Phone

Company Name

Reg / ID No.

Partnership Type

Distributor
Retailer
Dealer
Strategy Collaborator

Brand Name

Address Selection

Billing & Agreement Address
Shipping Address

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Shipping Address (Ignore if is same with the address above)

Shipping Address

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Layout

Commercial Term

Cash Term
Credit Term

SSM / IC Document

Click or drag a file to this area to upload.

Other Supporting Documents

Click or drag a file to this area to upload.

Questions? Call / Whatsapp us at +6018-669 6223 or email us at hi@waisence.com.my