Account Opening Requisition
Please fill in the required details, our Sales person will attend to your enquiries soonest possible. Thank you.
* Please fill in all the mandatory fields.
Contact Name
:
*
Contact No.
:
*
eg: 012-1234567
Email
:
*
Company Name
:
*
Company Registration No
:
Company Address
:
*
*
Postcode
:
*
State
:
*Please Choose*
Johor
Kedah
Kelantan
Kuala Lumpur
Labuan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Putrajaya
Sabah
Sarawak
Selangor
Terengganu
*
Company Phone No.
:
*
Company Fax No.
:
Nature of Business
:
*Please Choose*
B01 - Automotive
B02 - Banking & Financial Services
B03 - Construction & Property Development
B04 - eCommerce / Online Marketing
B05 - Government Ministries & Statutory Board
B06 - Hotel & Entertainment
B07 - IT, Telecommunication & Technology
B08 - Logistics,Transport & Delivery Services
B09 - Mass Communication & Education
B10 - Multi Level Marketing
B11 - Oil, Gas & Resources Mining
B12 - Pharmaceutical & Healthcare
B13 - Professional Services
B14 - Retail & Trading
*
Type of Service(s)
:
Domestic
Logistic /Warehouse
Others
(Max allowed:100 characters)
Current Service Provider
:
Remarks
:
(Max allowed:150 characters)
How did you know about GD Express?
*
Newspaper
Online
GDex Website
Referrer
Others
(Max allowed:30 characters)
Email: sales@gdexpress.com
General Line: 03-7787 2222