Dealer/Distributor Application Form
Kcwalldecals Dealer/Distributor Application Form
Kcwalldecal Brand Walk through
Name: *
Your answer
Billing Address: *
Your answer
City: *
Your answer
State: *
Zip/Postal Code: *
Your answer
Country: *
Phone:
Your answer
Mobile: *
Your answer
Email: *
Your answer
Website:
Your answer
Type of Business:
Tax Identification Number (TIN):
Your answer
Personal Account Number(PAN) :
Your answer
Projected Annual Sales of Kcwalldecals in INR:
Your answer
Estimated Initial Order Amount from Kcwalldecals in INR:
Your answer
Shipping Address (Please mention detail address and contact number):
Your answer
List other wall decal vendors you currently do business with:
Your answer
Do you have a showroom/retail storefront?
If yes, what percentage of retail floor space would be allocated for Kakshyaachitra products?
Do you currently or plan to do online business through Internet?
If yes, what percentage of your total sales would result from Internet sales?
Contact Person
Your answer
Purchase order required?
*
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