#SupportLokal Initiative Interest | Forms

ALLIANCE BANK #SUPPORTLOKAL INITIATIVE

Interested to promote your business and gain access to new customers nationwide? Join us on #SupportLokal.

Fill up the form below and we will contact you if you are selected.
* Open to Alliance Bank SME customers that are Merchants registered in Malaysia.

Language:

English

|

Bahasa Melayu

*Mandatory Fields

Are you currently a business customer of Alliance Bank? * :

Yes / Ya

No / Tidak

Company Name *:(as per SSM)

Business Brand Name *:

Full Name of Business Owner *:(as per NRIC)

Full Name of Person in Charge of Marketing *:(as per NRIC)

Position of Person in Charge of Marketing *:

Mobile Number *:

Email Address of Person in Charge of Marketing *:

Referral Code (optional)

Provide details of your official website and social media channels below *:

Short Write-up of Your Business for B2C - refer to the example here *: (Limited to 200 characters or less)

One Short Liner on Promotion or Business Shout-out - i.e. special promotion code, discount, free shipping/delivery or one key thing about your business. *: (Limited to 100 characters or less)

Link to Promotion (only one link applicable) *:

Hi-resolution of Your Company Logo (PNG or JPEG) * :

Who are your customers? *

Individuals / Individu

Business / Perniagaan

Both / Kedua-dua

Declaration *:

I/We hereby irrevocably and unconditionally consent and authorise the Bank to process (including but not limited to collect, use, store and share) and disclose to the above selected e-commerce platform partners information provided for the purpose of participation in this program. I/We further confirm that the Bank shall not howsoever be liable to me/us for the furnishing of such information to selected e-commerce platform partners for purpose of onboarding to their platforms.