International Dealer / Distributor application form

We wish to apply to be:
 a dealer:
a distributor:
Company name
Name of Parent Company if you are a subsidiary
Full address
Country
Telephone
Fax
E-mail address (required)
Web site address
Name of contact person
Any special delivery instructions
Opening hours
How many years have you been in business?
Method of sales and or distribution
 Hobby shop
Mail order
Internet selling
Consumer direct shops
No direct sales (distribution exclusive to direct sales outlets)
Others (please specify)
Who is the owner of your Company?
The owners home address.
Please fill in the name and addresses of three other companies with whom you are currently doing business
 Reference 1

Reference 2

Reference 3
Once that you have checked that all information is correct; please submit the form and we will contact you.