Corporate Information
	Name of the Firm :
	Address:
	Zip Code :
	Telephone No.:
	Fax No.:
	Email ID:
	Website:
	Company Reg. Number:
	Type of Firm:	Partnership Private Limited Propreitorship Limited Company
	Year of Incorporation:
Sales Information
	Showrooms:
	Total Sales Force in your Organization:
	Number of Agencies you Presently have:
	Name of the Company Product/Agency Territory Since(year) Sales(USD)
Dealership Information
	Applying for:	Dealership		Distributorship
	Products Interested in:	SOL POS
	Territory Interested in:
	Expected Annual Sale of the products:
	Local Import Duty, if any,for our products:
	Any other territory where you have good scope, other than your chosen territory :
	Remarks:
Contact Information
	Your Name:
	Designation:
	Email ID: