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Distributors Form
Name of the Company*	:
Address*	:
City*	:
Country*	:
Industry type*	:
Email*	:
Telephone No*	:
Fax No	:
Location of Head Office*	:
Location of branch offices, if any	:
Type of organization	:	Proprietorship ...... Limited Liability Co
		Partnership
		Other [Pls specify]
Name of the key contact person*	:
Designation	:
Direct phone, if	:
Year established	:
Annual sales turnover	:	in
Sales agent for	:
Distributor of	:
Importers of	:
Number of products presently selling*	:
Names of major companies/ Publishers represented, or with which licensing arrangements exists	:
Type of Products for which you are dealing with	:
Main distribution channels	:

Fields marked with * are mandatory.