International Dealership Questionnaire


contact Details

Name of the 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* :