Slasham Buyer Form
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Name *
Phone Number/Whatsapp *
  Business Name   *
Location / Street / Address *
Email Address *
Website
 List top five products you buy on a weekly/monthly basis  
Product Name *
Quantity bought weekly/monthly?   *
  How much spent per period   *
Product #1 Name *
Quantity of Product #1 bought weekly/monthly?   *
How much spent per period   *
Product #2 Name
Quantity of  Product #2  bought weekly/monthly?  
 How much spent per period on  Product #2
Product Name
Quantity bought weekly/monthly?  
  How much spent per period  
Product Name
Quantity bought weekly/monthly?  
How much spent per period  
Who currently supplies this product? *
Are they local or outside your town? *
Supplier company name *
Price point / discount expectations *
Expected delivery timeline if ordering today *
How frequently do you need this product? *
Top 3 headaches with your current suppliers *
Shipping company currently used    *
Current shipping cost per delivery *
Margins or discounts you are looking for *
Annual revenue of your business *
Are you interested in affordable loans for your business growth in the future?  If yes, specify the amount
Submit
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