International Dealership Questionnaire
contact
Details
Name of
t
he Company
*
:
Contact Person
Name
*
:
Position
:
Physical Address
*
PO Box Street
:
City
:
Zip Code
:
Country
:
State
:
If the
Physical Address and Mailing Address are
Same as above
Not Same
Mailing
Address
PO Box Street
:
City
:
Zip Code
:
Country
:
State
:
Mobile No
*
:
Business Phone No
:
Fax
:
Email ID
*
:
Skype ID
:
Website
:
your customer profile
Industry
Industry :
Automobile
Electronics
Public Works Dept
Atomic Power
Food
Pulp & Paper
Bottling Plant
Hydel Power
Railways
Cement
Marine
Refinery
Chemical
Mining
Shipping
Construction
Nuclear Power
Steel
Transmission & Distribution
Oil & Gas
Sugar
Thermal Power
Textiles
Wind Power
Others
Intrested in Dealing :
Building & Civil Infrastructure & Technical Installations
Waterproofing
Fire Retardent Coatings
Heat Reflective Coatings
Road Marker Coatings
Floor Screeds & Toppings
Grouts & Anchors
Surface Treatment
Adhessive & Sealants
Surface Protective Coatings
Construction & Chemicals
Repair & Rehabilitation
Maintenance, Repair,Overhaul (MRO) for Mechanical and
Electrical - Machinery & Equipment
Metal Reclamation Putties
Oil, Grease & Lubricants
Maintenance Coatings
Hand Cleaner & Barrier Creams
Under Pressure Leak Arrest Putties
High Temperature Coatings
Metal Epoxy Sticks
Self Fusing Insulation Tapes
Industrial Maintenance Aerosols
Crusher Backing Compound
Emergency Maintenance Kits
Thermal Insulation Coatings
Marketing Information
Territory Intrested for Dealership
:
Are you intrested in
:
Co-Brand Labelling
Private Labelling
Technology Transfer
Joint Venture
Business Potential per Annum (approx) - USD ($)
:
Are You Intrested in participating Training/Seminar/Webinars?
yes
No
Delivery Terms
INCOTERMS
:
Ex-Work
FOB
C&F
CIF
Your Nearest Port Details
:
Do You have any Nominated Shipping Liner in India? If so, Please specify :
Nominated Liner 1
:
Nominated Liner 2
:
Do You have import account with Express Courier? If so, Please specify :
Name
:
Import Account Number
:
Draft Agreement
Security code
*
:
Enter the code above here :