Be A Distributor

Personal Information

First Name:

Surname:

Father's Name:

National Identity Code:

Date of Birth:

Place of Birth:

Cell-Phone:

Commercial Address:

Residential Address:

Country:

Province:

Fax:

Institutional Information

Institution Name:

Institution Email:

Registration Number:

Registration Date:

Type of Distribution:

Number Of Shareholders:

Main Products:

Distribution Facilities

What is the area of your sales office? If you do not have a sales office put zero (0).

What is the area of your warehouse? If you do not have a warehouse put zero (0).

Type of Ownership: Rental Owner

Banking Information

Bank Name:

Beneficiary Name:

Account Number:

Swift Code:

Bank Address:

Beneficiary Address:

Other Information

Annual Net Sales:

Target Net Sales:

Number of Employees:

Number of Representitives:

Main Sales Region:

Other Sales Region:

Describe your distribution activities and your co-operation with other companies:

I have read and agreed to the terms and conditions of use.