Sales Agency Request

To submit the agent application form, please carefully fill in the following form, then click the send button.

 

Sales Agency Request
Primary information
* Company / Organization Name :
* Name of CEO :
* Date of birth :
Contact Info
* Email :
* Phone :
Fax :
* mobile :
* Address :
Request For Agency

Please specify the region for taking sales agency.

* Province :
* City :
* Agent type :
       
Facilities

Please specify the facilities and equipment that you own

* Building Facilities :





* Type of ownership :
       
* Transportation :




Number of Staff :
* Number of salesman :
Resume
The average monthly sales :
Estimation of our products’ monthly Sales :
* Experience :
Description :
* How did you became familiar with Guzel tea? :





Sabmyt prevent machine
* Security Code :