Revti Electronics Industries


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Dealership Form



Dealership Form

* fields are mandatoryDetails
Name of Company *  
Name of Contact Person *  
Address *  
Phone Number *  
Email ID *  
Country *  
Website Address  
Nature of Business *  
C.S.T. *  
State Sales Tax  
Permanent A\c no. [PAN] *  
Name & Address of your Banker *  
Manpower Employed (Pl. furnish details)  
Facilities available for effective after-sales-service  
Annual turnover for the last three years  
Geographical area in which you are actively marketing other products  
Mention name some of your important customers