DISTRIBUTOR APPLICATION FORM
Be a part of our fast growing Network. We pride ourselves in building strong relations. Join our group of Distributors and get the opportunity to present more options to your customers.
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Name / Address |
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Company |
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Address 2 |
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Address |
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City |
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Country |
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Postal Code |
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Phone No |
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Fax |
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Website |
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Contact person |
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Designation |
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DID |
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Distributorship Application:
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Company Info |
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Biz Size of company |
1-5 6-10 10-20 20-50 50 and above (Circle one) |
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Sales Rep (Total) |
1-5 6-10 10-20 20 and above (Circle one) |
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Inside Sales Rep |
1-5 6-10 10-20 20 and above (Circle one) |
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Geographical coverage |
(List all relevant states, countries or regions with people on the ground) |
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Brands you are currently representing |
(List all brands represented) |
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Products of interest |
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Geographical area(s) of interest |
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Describe your target base (in brief)
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Top 4 customers |
1 2 |
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3 4 |
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Marketing Strategies (in brief) |
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