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DISTRIBUTOR APPLICATION General Information
Company Name
Contact Person
Address (No PO Box)
City State/ Province
Postal Code Country
Email Website
Phone Fax
Company Information
Year of Establishment
Number of Employees Number of Sales Persons Number of Engineers
Main Products/ Services
Main Customers Petroleum Industry Chemical
Oil & Gas Industry Water Industry
Power generation Mining
Other
Annual Turnover Percentage of Valve Business
Inventory Value (if applicable)
Percentage of Valve Stock
Require Documents to Submit:A. Proof of Company Registration B. Company Picture C. Warehouse Picture (if applicable)D. 3 Copies of Sales Invoice for valves from within the previous six (6) months.
Indicate the sales region or client base or specify major client you would like to represent Australian Pipeline Valve for below:
Please complete this form, sign and send by email to: [email protected]
Name: Date:
Title: Signature:
APV Distributor Application R1 - AS