Do you want to be a distributor?

We ask you to fill in, truthfully, each of the boxes, with a "don't know" if necessary for better evaluation of proposals. For values, use US $ or Euros. This APPLICATION does not imply any commitment unless it is confirmed and the distribution contract accepted.

RURAL RANGE DISTRIBUTOR APPLICATION
Name of Commercial Organisation:
Manager's full name:
Company postal address:
Street, nº:
Postcode:
City:
Province:
Country:
Telephone:
Fax:
Email:
Market you are currently in or want to be in:
Number or rabbits, chickens and sheep in the rural system:
Brands and types of product you currently deal in:
Total sales potential per year for products similar to those of EXTRONA RURAL:  US $ o Euros
Estimated sales of EXTRONA RURAL cages within two years:  US $ o Euros
Usable warehouse/shop floor area:
current  m²
future  m²
Do you also have a garden centre? yes   no
Details of the Nº of staff serving in the shop: , and working outside it: 
Nº of branches in the region or country:
Do you want exclusivity for sales of ANIMAL CONFORT products? yes   no

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