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Dealer Registration Form
Become an Authorized Dealer! Tell Us More About Your Company.
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Email
*
Your email
Contact Person Name
*
Your answer
Business Name
Your answer
Contact Number
*
Your answer
Company Website
Your answer
GST No.
Your answer
Address
*
Your answer
State
*
Your answer
District
*
Your answer
Type of Business
Your answer
How long have you been in business?
Your answer
Please list the products that you service/sell.
*
Your answer
Please provide a short description about your company.
Your answer
How did you hear about RMG AUTOMATION?
*
Your answer
Please describe your current interest level in becoming a RMG Basement Dealer.
*
Looking to start selling in in the next 3 months
Looking to start in 6 months
Looking to start in 12 months
Currently just researching for dealer opportunities
Ready to buy today
What is your annual sales volume?
Your answer
A copy of your responses will be emailed to the address you provided.
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