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Dealership Form

Bill to Customer Account Opening Form

Customer Name :

Please tick the following

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Type of Dealer :

Only Paints
Paints & Sanitary
Paints & H/W
Paints & Sement
Others.

Reasons for opening :

Good Future Potential
Unrepresented Area
Gaining Market Share
Sales Of Specialized Area
Others.

History Of Establishment :

Year Of Establishment :
Years Associated With Paint Business :
Number Of Persons Employed :
Name Of Sister Concern :

Billing Address : (As Per Sales Text)

Name Of Shop :
Address :
Pin :
Nearest Landmark :

Phone No :

Proprietor Ship

Partnership

Name of key Managerial Persons

VAT No. of Firm :

Bank Details

Bank Name :
Branch :
Account No:

I/We Certify that the above information is correct

Customer Name

Date

Place

Tinting Machine Of Cos :

Asian Paints

Berger Paints

Akzonobel

Kansai Nerolac

Others

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