First Name*

Last Name*

Email Address*

Phone Number*

Business Name*

Type of Business*
—Please choose an option—RetailFood & BeverageServicesFashionElectronicsHealth & BeautySupermarketOther

Preferred Shopping Mall / Plaza*
—Please choose an option—Masingita MallMakhado CrossingMasingita PlazaMasingita TowersMasingita CentreOther

Preferred Unit Size (sqm)*
—Please choose an option—0–50 sqm50–100 sqm100–200 sqm200–300 sqm300+ sqm

Desired Lease Start Date*

Lease Duration*
—Please choose an option—6 months12 months18 months24 months36 months

Years in Business*

Street Address*

City*

State / Province*

Postal Code*

Country*