*
Trading Name
*
Business Type
Restaurant / Takeaway
Café / Coffee Shop
Bakery / Dessert Shop
Grocery / Minimart / Kiosk
Health / Pharmacy
Butcher / Fishmonger
Juice / Smoothie Bar
Beauty / Personal Care
Clothing / Footwear
Electronic / Hardware
Gas / Water Supply
Office / Stationery
Other
*
Contact Person Name
*
Mpesa Number for Customer Payments
*
Email Address
*
Business Location (Delivery & Pickup Address)
*
Town / City
*
Postal Code
Send Request