Dealer Application Form Submitted by admin on Thu, 02/16/2012 – 23:08 Contac Information First Name: * Last Name: * Company Name: Address: City: Zip: Work Phone: Fax: E-mail Address: * Office Information: Office Premises: Own Rental Type of Relation: Owners Partners Directors Sales Turnover: (US $ P.A.) No. of Employees: 1) Office 2) Sales Warehouse Area: (sqft.) Transportation: Own Truck Logistic Companies Product Lines Handled: Own Brands (If Any): Manufacturer’s Represented: Coverage: Market Potential: 1) Auto: (Qty/Value) 2) Building: (Qty/Value) Expected Annual Off Take: Bankers A/C No. & Address: References: Preferred Payment Terms: 1) Advance Remittance / LC: Preferred Port: 1) What is the nature of your business? What is the nature of your business Manufacturer Distributor Dealer Retailer Installer Trader Other 2) What products are you currently dealing in? What products are you currently dealing in? Llumar 3-M Johnson Madico Solis Sun Guard Hanita Suntek Other 3) From whom are you currently buying? 4) Number of years in Business: 5) Years in Window Film Business: 6) Annual Film Purchases in US $: 7) Estimated Annual Film Purchases from us in US $: Primary business: Automotive Residential Safety How did you come to know about us? – None –Search EngineAdvertisimentPersonal ReferalNewspaperMagazineOther If Others, please specify: Any other comments?