Form Vendor Petloka
Semua Informasi dibawah ini wajib diisi dengan data sebenarnya untuk kepentingan persetujuan
Data Usaha/ Vendor
Nama Vendor *
Your answer
No. Telephone *
Your answer
Email
Your answer
Web
Your answer
Instagram
Your answer
Facebook
Your answer
Alamat Usaha *
Your answer
Status Tempat Usaha *
Kepemilikan *
Service/ Jasa yang ditawarkan *
Required
Lama Usaha *
Your answer
Tagline *
Your answer
Tentang Vendor/ Pengalaman Vendor *
Your answer
Hewan yang dilayani *
Required
Sertifikat Pet Grooming *
Layanan Jemput Antar *
Layanan House Call (Grooming di Rumah) *
Daerah Jangkauan Layanan *
Your answer
Hari Kerja *
Your answer
Jam Kerja *
Your answer
DATA PEMILIK , PIC, DAN INFORMASI REKENING BANK
Nama Lengkap Pemilik *
Your answer
No. Telephone/ Handphone Pemilik *
Your answer
Email Owner
Your answer
Alamat Pemilik *
Your answer
Nama PIC *
Your answer
Jabatan *
Your answer
No. Telephone/ Handphone PIC *
Your answer
Email PIC
Your answer
Alamat PIC *
Your answer
No. Rekening *
Your answer
Nama Bank *
Your answer
Nama Pemilik Rekening *
Your answer
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