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DISTRIBUTOR FORM |
| Factory: WX-80,
Basti Nau, Jalandhar - 144002(India) Correspondence Address : 306-R, Model Town, Jalandhar Phone : 91-181-2253311,2250461 Fax : 91-181-2276021 E-Mail : info@phillipsindia.com |
If
you want to become Distributor or want to do Marketing of our
products, please fill out the following form. Thanks.
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| Name of Company | |
| Phone | |
| Fax | |
| Street Address | |
| City | |
| State | |
| Zip / Pin Code | |
| Country | |
| Contact Person | |
| Year of Establishment | |
| Present Business Line | |
| Area of Business | |
| Last 3 Years Turnover | |
| Expected Yearly Off take of 20 / 40 containers from us | |
| Total No. of Employees (Skilled / Unskilled) | |
| Sub - Offices |
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