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Representation Form
Applicant's details
NAME
*
Mobile Phone
*
Date of birth
*
National code
*
Work address
*
Work phone
*
Exhibition and warehouse specifications
Exhibition phone
*
Exhibition ownership
*
Select item
Personal
Rental
Area
Central warehouse address
*
Central warehouse phone
*
Warehouse ownership
*
Select item
Personal
Rental
Area
How it works
Amount of sales per month to the consumer
*
Select item
More than 2000 meters
More than 4000 meters
More than 6000 meters
More than 10000 meters
Sales volume per month to partner
*
Select item
More than 2000 meters
More than 4000 meters
More than 6000 meters
More than 10000 meters
Area of activity from other cities
*
Select item
Yes
No
Which cities?
*
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