/// DEALERS APPLICATION FORM

                       
Territory or Area of Interest :*
Name of Company / Firm : *
Full Postal Address :*
Pincode :*
City :*
State :*
Country :*
Mobile Number :*
Phone Numebr :
Email Address :*
Fax Number :
Name of the main person :*
Type Of Firm :*
VAT/GST Number :
Government Registration Certificate :
Please Select the product you are interested :



Last three year turnover in $(USD):
Investment capacity for Proposed Venture ( min.$7500 [INR 5 lac] ) :
Number of Staffs :
Details of vehicles :
Details of Area in Sq.ft :
Describe Your Distribution channel including number of Retailers :
Brief on your Current Bussiness :
Declaration
Copyright @ 2015 - Ti Anode Fabricators Pvt. Ltd.