Dealer Stage One

First Name *

Last Name *

Designation *

Department *

Mobile No. *

Email Address *

Landline No.

WhatsApp No.

Company Name *

Company Address *

City

State

Country

Company Website

Your Company Profile(Only .pdf, .ppt, & .pptx files are allowed | Max. 20 MB allowed)

How many years is your organization in active business? *

What is the current turnover for the last 2 fiscal years? *

Is your organization provides Calibration Services? If yes, please tell us more about it. *

Is your organization provides Validation/ Thermal Mapping Services? If yes, please tell us more about it.

Which Brand/Brands are you doing now & for How many years? *(Write in detail, so that we understand your business properly)

What prospect for MIIGO products do you see in your area? *(Kindly write in detail, so that we realize that you have done some ground study before applying for a distributorship)

Any other comment (if any)

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