Marketplace Request Form

This is a request form for an interested buyer to contact a seller on our Marketplace. We require you to complete the form below before we proceed to connect you to the seller and his/her pre-loved items.

Name *

First

Last

Title *

NRIC No/ Passport (Last 4 digits) *

Date of Birth *//

Address *

Company *

Industry *

Mobile *

Email *

I would like to:

Request For Contact Details *

Please indicate the member’s name. If not applicable, indicate N/A.

My Preferred Time/Date (Within 6 months) *

//Date

Time

The Products/ Services I am interested in *

You may drop the website link(s) above for our ease of reference.

FoMo Membership

I would like to apply as a FoMo Member (Membership fees are waived for 2022)

FoMo Membership T&C Link: https://www.millionaireasia.com/terms-and-conditions-for-fomo/

Marketplace T&C *

I have read and agree to Millionaireasia’s Terms and Conditions for Millionaireasia Market Place. (link below)

Marketplace T&C Link: https://www.millionaireasia.com/terms-and-conditions-for-market-place/

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Marketplace request form

I would like to:

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