Distributorship Application form for (Please fill the fields marked with *)

 

Company Name :*
Name&Surname / Title of the Responsible Person:*
Company Address:*
City :*
 Country:*
Telephone :*
 Fax:
Email :*
 Website:
Foundation Date:*
 Activity Area:*
Tax Office:*
 Tax ID Number:*

Information About Workplace

Do you have an office and showroom? : *  Yes      No
Do you have a storage area? :*       
Do you have any loading equipment? (crane etc. ) :*         
Do you have any transport vehicle? :*       
Number of your personnel (general total):*
Do you marketing personnel? :*         
Do you have any branch anywhere else? :*         
Do you have a warehouse anywhere else? :*         
Are you distributor of other companies?         
Their names and products:
Do you have sub-distributors? :*         
Your customer profile (sectors, in which you are active) :*

Financial information

Do you use cheque? :*         
Can you provide bank guarantee? :*         
Banks that you deal with:*

Your targets

The product, for which you want to be distributor:*
The regions, in which you want to make sale? :*
Your targeted sales volume or turnover:*