Hello Distributor

PARTICULARS

Name of Company

Address

City

Region

PostCode

Country

How long have you been operating?

Number of Branches

TRADING HISTORY

How long have you been Food & beverages product trading?

If yes, kindly state the product(s)

Monthly Turnover

CAPITAL

Average monthly turnover for the part six months

LOGISTIC

Do you have owned vehicle for distribution?

If yes, state the name. If no, state your plans

AUTHORIZATION

Distributor’s Authorized Representative / Manager’s particulars

First Name

Last Name

Address

City

Region

PostCode

Country

Phone Number

PROJECTIONS

What is the minimum in carton that you envisage per month

IMPORTANT: what area do you intend to cover as a distributor / sub distributor

What areas do your wholesaler / sub distributor / customers cover?

NAME OF OFFICER / INSTITUTION DISTRIBUTOR COMPLETING THIS APPLICATION

Position

Phone

Date

Fresh Coffee taste from premium Vietnamese coffee beans

Fresh Coffee taste from premium Vietnamese coffee beans

Hello Distributor

PARTICULARS

TRADING HISTORY

CAPITAL

LOGISTIC

AUTHORIZATION

PROJECTIONS

$5 off first purchase

Hello Distributor

PARTICULARS

TRADING HISTORY

CAPITAL

LOGISTIC

AUTHORIZATION

PROJECTIONS