DISTRIBUTOR - PROPOSAL FORM

Party Name :
Address :
Street Address :
State :
City :

District :
Postal/Zip Code :
Contacts :
Phone(Office) :
Mobile No:
Email :
Fax :
Local Sales Tax Number :
Name of Bank & Branch Address:
Constitution Proprietory/Partnership :
Number Of Partners :
Name Of Partners/ Proprietory :
Address of Residence :
Phone Number :
Area/Territory covered :
Names of Districts :
Number Of Retail Outlets Covered :
Storage Facility :
Area Of Godown In sq.ft. :
Security Amount:
Phone Number :
Date :
Name of Transport :
Average Monthly Business Expected :
First Six Months(Rs.) :
Next Six Months(Rs.) :
Enclose :
1) Photocopy Of Sales Tax Regn
2) Photocopy Of Partnership Deed.