Distributor Application Form
Company General Information
Company Name
:
Mailing Address
:
Postal Code
:
City
:
Country
:
Tel
:
GSM
:
Fax
:
E-mail
:
Web page
:
Type of Business
:
The companies&products that you represent
:
Do you sell Boiler?
:
Yes
No
If you do, please write down
:
If you do, how many boiler did you sold last year?
1-50
51-100
101-250
251-500
501...
Showroom Capacity (M
2
)
:
:
is owned
is rented
Storage Area (M
2
)
:
:
is owned
is rented
Your comments
:
You will be informed as soon as possible
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