Online Dealer Registration - Medical Device Dealer Meet, Bengaluru (Bangalore) 12th March 2015
I would like to confirm my participation as a Dealer / Distributor for the Medical, Surgical, Imaging Equipment Dealer / Distributor meet to be held on March 12, 2015, at Bangalore. Please find herein my details
I would like to register as a *
Name *
Your answer
Address *
Your answer
Tel / Mobile *
Your answer
Email *
Your answer
Website
Your answer
We are currently dealing in the following medical categories & companies *
Please mention the categories and the name of the companies below
Your answer
We are interested in seeking dealership for the following categories *
Please mention the product categories that you are seeking dealership for e.g ortho, cardio etc
Your answer
My present area of operation is the following cities in Karnataka *
please mention the cities that you are servicing currently
Your answer
Presently dealing with the following type of customers *
Required
I have a network of dealers (to be filled in by a distributor only)
please mention the number of dealers working with you
Your answer
Please send invitation to the following dealers/ distributors on my behalf
please give company name, contact person and email address
Your answer
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