HFS Distributor Application

HFS Distributor Application Form

Name / Address Company:

Address:

Address 2:

City:

Country:

Postal Code:

Phone No:

Fax:

Email:

Website:

Contact person:

Designation:

Email:

DID:

Distributorship Application: Company Info Biz Size of company:
1-5 6-10 10-20 20-50 50 and above
Sales Rep (Total):
1-5 6-10 10-20 20 and above
Inside Sales Rep:
1-5 6-10 10-20 20 and above
Geographical coverage:

Brands you are currently representing:

Products of interest:

Geographical area(s) of interest:

Describe your target base (in brief):

Top 4 customers:
1:
2:
3:
4:
Marketing Strategies (in brief):