Dealership Application Form
Name of Chief Executive	Mr. Ms. Mrs.
Company Name
Current Business
Existing Dealerships (specify)
No. of Employees
Do you own a	<-Select-> Shop Office Both
Year of Establishment
Bankers Name
Annual Gross Sales
In the year 2005
In the year 2006
In the year 2007
Name of the Agencies/ Products dealing as Authorised Dealer
Territory presently covered
Showroom Facilities Available
a) Number of Showrooms
b) Location & Town
c) Strength of Sales Staff
d) Strength of Admin. Staff
Address
Town
County
Postcode
Tel No.
Fax No.
E-mail
CST No.