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Dealership Form
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Dealership Form
NAME OF FIRM*
GST NO.* (required)
ADDRESS LINE1*
ADDRESS LINE2
CITY*
PIN CODE
COUNTRY*
NAME OF PROPRITER/AUTHORISED SIGNATORY*
MOBILE NUMBER*
CONTACT PERSON*
CONTACT PERSON MOBILE NUMBER
Email Address*
BUSINESS DETAILS
BRANDS ALREADY SELLING
NATURE OF BUSINESS:-
(A) COUNTER SALE+DISTRIBUTION.
(B) COUNTER SALE ONLY.
(C) DISTRIBUTION ONLY.
ANNUAL TURNOVER*
NO. OF SUPPLY POINTS
APPLYING FOR
(A) DISTRIBUTION
(B) DIRECT DEALER
AREA OF OPERATION*
