OUTLET STORE APPLICATION FORM Zynergia - Outlet Store Application FormPLEASE PREPARE TO UPLOAD THE FOLLOWING:Contract Lease, DTI/SEC, Certificate of Registration, Mayor’s Permit, BIR Permit and Business Permit.Date signed:Salutation:First name:Middle name:Last name:Suffix:Birthdate:Date of Membership:Facebook name:Mobile Number:Email address:Telegram Account No.PreviousNextResedential Address (Home address)Apartment/Unit No:Street Address:Barangay:City:Zip code:Physical Address (Business Center Address) Apartment/Unit No:Street Address:FB Page name:Center Portal username:Membership username:Barangay:City:Zip code:How many S.Q.M?Area of Coverage:Schedule of Operation:Opening Hours:Authorized Representative Name:Are you a ZNP? What Batch?PreviousNextUpload the following:Contract lease:UPLOAD CONTRACT DTI / Sec:UPLOAD DTI/SEC Certificate of registration:UPLOAD CERTIFICATE Mayor's Permit:UPLOAD PERMIT BIR Permit:UPLOAD DTI/SEC Certificate of registration:UPLOAD CERTIFICATE Finder's Fee claimant / Referred by: Previous Submit Form