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Distributor Application form
Name Organization:
Address:
City:
Country:
Pin Code
Tele:
Fax:
E-mail:
Company Website:
Type of Organization:
Annual Turnover (INR):
Name of the key Person:
E-mail:
No. of Employees on roll
Area/ Location interested in for Distributorship:
Present line of Business:
Manufacturers Associated With:
No. of years into present Dealership & Business:
Representing any other Company for Cleaning Machines/ Tools & Equipment (apart from the above mentioned): Yes No
If yes, please give Details: