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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 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:

TO: · Web viewOil & Gas Industry Water Industry Power generation Mining Other Annual Turnover Percentage of Valve Business Inventory Value (if applicable) Percentage of Valve Stock

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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)