| CAPITAL AUTOTECH EXPORTS (P) LTD. Plot No. 473, Udyog Vihar, Phase-3, Sector-20, Gurgaon 122016(Haryana) DISTRIBUTOR APPOINTMENT FORM |  |
| Name of Distributor: | |
| Address: |
| City: | Pin Code: | ||
| State/Province | Country: | ||
| Contact Details : ISD Code: | STD: | ||
| Office No.: | Residence No.: | ||
| Email(1) | Email(2) | ||
| Web: | |||
| Vat/ Tin No.: | Dated: | ||
| Name of Partners:(1) | Mobile No.:(1) | ||
| (2) | (2) |
| WhatsApp No.: | Viber No.: | IMO: |
| Type Of Dealing | Retail | Wholesale | Year Establishment: |
| Godown Facility: | Yes | No | Shop Location In- | Main Market | Other Area |
| Details Of Other Companies- | Dealership | Distributorship | Procure From the Markets |
| SL NO. | Name Of Company | Brand Name | Total Sale Per Month |
| 1 | |||
| 2 | |||
| 3 |
| SL NO. | Preferred Shipping Line | Preferred Port of Loading |
| 1 | ||
| 2 | ||
| 3 |
| Area Desired For Distribution: | |
| Note: | |
OUR COMPANY IS LIABLE FOR AMOUNT EQUAL TO THE INSURED VALUE OF INVOICE AND NOT THE ACTUAL AMOUNT THEREBY WE SUGGEST YOU NOT TO INDULGE IN ANY KING OF UNDER BILLING. |
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Please fill up this form and send to: capital autotech exports (p) ltd. |
Plot No. 473, Udyog Vihar, Phase-3, Sector-20, Gurgaon 122016(Haryana) Tel:-+91-124-4947900 to 930 |