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   Stockist
To join us as a Stockist you have to place a minimum order for Rs. 10,000 in advance along with security cheque.
Name of The Stockist:  
Postal Address:  
City:   District
Pin Code: State  
Contact Person:  
E-mail Address:
Phone No. (With STD Code): Fax No. (With STD Code):
Mobile: No. Of Companies Handled
Estd.Since (Please Mention Year) Type Of Establishment
Banker's Name With A/C No. Banker's Address
Name of Preferred Transport Company No. of Own Salesman
Area/Sector of Operation Annual Turnover
(In Rupees)
Likely Investment by the Party (In Rupees) On Focus Product
Godown Space/ Shop
(In SQ.FT./SQ.MT.)
Prop./Partnership
/PVT.LTD.,LTD.
Date Of Appointment
(MM/dd/yyyy)
   Security Deposit Amount(With DD No./Date)
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