Dealers Contact Form (V A N Ltd)
Be a part of Venkateswara Ayurveda Nilayam Ltd and be a part of the growing Ayurveda wellness industry. If possible we suggest that you visit our place of business in order to have a detailed discussion regarding your distribution request. Please do let us know once you have decided for prior appointment for the discussion with the Managing Director and the Heads of Marketing.
Sign in to Google to save your progress. Learn more
Contact Person Name *
Agency Name *
Mobile # *
Email ID *
Your Address *
City *
State *
Investment Capacity? *
How many years of experience do you have in the sales of Ayurveda products? *
What kind of Ayurveda knowledge do you have regarding the background of Ayurveda in understanding the usage and mode of action of the medicine?   *
Year of establishment? *
What other Ayurvedic products that you deal with? *
Estimated purchase value of medicines from our company? *
Which products do you specifically want to market? *
Is it specific to a certain disease or all the medicines in general? *
How much of sale can you make per month / quarter / year? *
Please provide your GST # & CST #
Estimated area of coverage? (approximately) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of van. Report Abuse