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Dealership Form

(Note: All the information filled in here will be kept confidential)

Please fill up the form below for Dealership Enquiry

Name of the Organization*

Address With PIN code*

Year of Establishment*

Name of Proprietors/Partners/Directors*

Office Tel Nos.*

Country Code

Area Code Tel No.

Mobile No.

Website

Are you manufacturer of any product ?*

Yes

If yes, since when: Type & products Manufactured

You are planning following functions through own staff *

Promotion*

Yes

Installation*

Yes

After Sales Service*

Yes

Area desired by you for promoting our products i.e. State / Dist. City please specify names*

For which products you would like to take up dealership for*

Present Agencies for representation / selling*

Name of the Company

Products handled

Types of Industries covered

Areas Towns covered for this company

Agency since which year

Filled by:

Name*

Designation*