Sampling Charges
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DEALER ENQUIRY FORM

Basic Information
Name
Permanent Address
Pin Code
City
State
Telephone Number
Mobile Number
Fax Number


Constitution of Dealer
Propietorship
Partnership
Private Limited Company
Public Limited Company
Others


Manpower
Number of Sales Persons


Business Associations
Number of Products / Companies Being Handled
Name of Company Status Area Covered Product Turnover
(Rs. in Lakh/P.A.)


Goods
You are interested in Dealership for :
Jewellery Boxes
Furniture
Namesters
Baby Containers


Territory
Name of Town/District for which Dealership/is appliled


Investments
How much investmetns are you prepared to make for our products


Declaration
I / We, the undersigned, have gone through the above details/documents for my/our appointment as the Dealer of the Company. I / We fully understand the implications of the information as given above and therefore bind myself / ourselves into a legal contract with the Company as per the Indian Contract Act, 1872 and other applicable provisions and laws as may be related to this contract. I / We understand fully that this Application Form can be used against me / us before any Court of Law / Tribunal / Arbitration proceedings, etc. I / We state that all information as mentioned in this Application Form is true & correct to the best of my / our knowledge and information and I / We shall abide by and maintain the declarations made herein. I / We further agree to inform the changes, if any in the above Application Form to the Company as long as I / We continue to deal with the Company; I /We also agree to be bound by the terms & conditions & policies of supply of goods and payment thereof conveyed from time to time by the company. I / We agree that no claim will be admitted / accepted by the Company in case of discontinued range or breakages at my / our premises.
   
I Agree


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