Dealer Inquiry Form

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Dealer Inquiry Form

- PADMANSHA TECHNOLOGIES PVT LTD

* Indicates required question

Company Name / Firm Name *

Your answer

Owner Name *

Your answer

Contact Number *

Your answer

Address with Pincode *

Your answer

Quantity of Panels Required *

Your answer

Dealer / Sub-Dealer *

Dealer

Electrician / Winding

Plumber

Shops

None of the above

Other:

Which Pump brands do you deal in? *

Your answer

Do you supply any specific panel brands? *

Your answer

If you are already a Padmansha customer, who is your current supplier? *

Your answer

Annual Turnover

Your answer

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