Thank you for selecting Johor Premium Outlets. Groups of 15 or more will receive free VIP Coupon Books upon arrival. Please complete this entire form. Upon submission, a local representative from center's management office will email you to confirm your reservation and address any questions you may have. If you need additional information,
please email us at: shopper@premiumoutlets.com.my.

Please note that all efforts will be made to respond to inquiries within 24 hours, Mon-Fri - 9am to 6pm MYT.

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*Salutation:	Mr. Mrs. Ms. Miss
*First Name:
*Last Name:
*Title:
*Company Name:
*Type of Business: Tour operator / receptive travel agent / motor coach operator / group leader / organizer meeting planner / hotel concierge
*Address 1:
Address 2:
*City:
*State:	Please Select Wilayah Persekutuan Selangor Perak Malacca Penang Johor Pahang Negeri Sembilan Terengganu Perlis Kedah Kelantan Sabah Sarawak
*Zip / Postal Code:
*Phone:	Ext:
Fax:
*Email Address:
Group Name: (Provide group or organization name, if applicable)
Motor Coach Provider: (Provide name, if applicable)
Hotel(s)/Accommodation(s): (Provide area accommodation(s), if applicable)
*Month:	January February March April May June July August September October November December *Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Year: 2011 2012 2013 2014 2015 2016
Anticipated Arrival Time:
*Number of Guests:
Dining Options:	Please check here if you are interested in dining options that might be        available for groups.
How did you hear about Johor Premium Outlets?:	Travel/Trade Show Recommendation Advertisement Mailing General visit to this website Return visit Other
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