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TO:
DISTRIBUTOR APPLICATION
General Information
Company Name
Contact Person
Address (No PO Box)
City
State/ Province
Postal Code
Country
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)