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Automatic Doors, Gates, Barriers, Shutters, Dock Levelers, Sectional Doors and Rapid Roll Up Doors
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Application for appointment of Dealers/ Distributors/Marketing Partners for Nirmal Automation

All fields marked with ' * ' are mandatory.
 
Name of firm *
Year of establishment
Address * Head Office


Branch Office(if any)
Communication *

Telephone

Fax

Email
Name of Director/Partner/Prop.

Contact person
Present Product Range
Approx. Turn over
For Last 3 Years (Rs. In Lakhs)
 
 
 
Brief company Profile
Major Customers
No. of employees
Office Technical Mktg
Kindly indicate the marketing Strategy for the product
Kindly indicate approx. monthly Sale of the products
Can you display product in your Showroom/office Yes No
Do your participate in Business Exhibitions
You deal with
Architects
Consultants
Govt. Dept. 		Builders
Hotels/Hospitals
Sanitary Dealers
Do you want your staff to be trained for installation & maint.
Your Sales Tax No.
Do you have Godown Yes No
Please indicate the area you want to represent and reasons.
Amount of investment you can do.
Any other information.