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 : *  
  Company Phone No. : *    
  Company Fax No. :    
Nature of Business : *
  Type of Service(s) :

     
     
(Max allowed:100 characters)
  Current Service Provider :    
  Remarks :  
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  How did you know about GD Express? *
 
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   Email: sales@gdexpress.com
  General Line: 03-7787 2222