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 -- Dealership --

 

  

Agreement for wholesale dealers of WPC

DEALERSHIP APPLICATION FORM
1. Name of the Firm :
2. (a) Address as to be registered with us :
State Pin
(b) Correspondence Address :
State Pin
Phone  
Fax STD Code
(c) Godown Address :
Phone  
Size
3. Nature of Firm : Proprietory/Proprietory/Pvt.Ltd/.Public Ltd.
4. Name of Owner / partners / Directors with Residence Phone no. :
Name Phone
5. Name of the Key Person handling the business & his qualification :
6. Who is the Authorised Signatory :
7. Date of Firm's Establishment :  
8. Your C.S.T. No. : DT.
9. Your S.T. No. : DT.
10. Your Banker's Name & Address : 1.
:   
: 2.
:   
11. Your own investment in the firm :  
12. Your proposed investment in our product :  
13. Branches/Sister Concerns  :
(Name/Addess/Phone) :

         

Phone  
:
:

         

Phone  
14. List of Existing Range of Products :
15. Direct Authorised Dealership / C&F Agency :
  Name of the CO. Date of Appointment Yearly sales of each
1.
2.
3.
4.
5.
16. Sales Staff :  
17. Total Annual Turnover of your firm for the last three year :
Year Turnover
18. Your Approximat Annual Advertising expenses :
    Media Amt.
1.
2.
3.
19. Your remarks about WPC-99 :
20. Expected sales of WPC-99 in the 1st years. :
21. Your Territory District/Town :
22. Dealership Deposit Amount Bank Draft/ Payorder/ Cheque No. Drawee Bank. :
Amount-
Bank Draft/Payorder/Cheque No.-
Drawee Bank-

Indore Colour Organics Pvt. Ltd.