Acquah's Enterprise
Authorized Acquah's Enterprise Dealer Application
Email address *
Company Name: *
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Contact Name: *
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Address: City: State: Zip: Country: *
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Phone: *
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EIN: *
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Which best describes your business? *
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How long have you been operating?
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How much are you ready to invest in this business? *
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Do you have owned vehicle for distribution? *
If no what are your plans? *
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Distributor’s Authorized Representative / Manager’s particulars *
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Phone Number: *
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Address: *
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Signature *
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IMPORTANT: what area do you intend to cover as a distributor / sub distributor *
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What areas do your wholesaler / sub distributor / customers cover?
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Do you have financing arrangement with any financial Institution? *
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Average monthly turnover for the part six months? *
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Date: *
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Signature: *
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A copy of your responses will be emailed to the address you provided.
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