DEALERSHIP APPLICATION FORM
 
 
Please take 5 minutes to fill the DEALER APPLICATION FORM on this page
or
CLICK HERE TO DOWNLOAD THE DEALER APPLICATION FORM ( send us the form at info@agrocom.in )
*REQUIRED FIELDS
DEALERSHIP
APPLIED FOR
SELECT AREA
SELECT PRODUCT RANGE ( Please Tick )
 
CITY / DISTRICT*
STATE
ALKO Garden Machinery
Bio Shredders
Sprayers
Power Tillers & Weeders
Tractor Implements
APPLICANT
DETAILS
NAME OF PERSON*
NAME OF COMPANY
ADDRESS*
CITY/DISTRICT*
STATE*
PINCODE*
LANDLINE NUMBER
-
MOBILE NUMBER*
FAX
EMAIL*
INFRASTRUCTURE
SHOWROOM
SERVICING FACILITY
STORAGE SPACE
BRANCH (IF ANY )
PERSONNEL
VEHICLE(S)
MARKETING/SALES     NOS.
TECHNICAL     NOS.
MECHANICS     NOS.
FIELD ASSISTANTS     NOS.
OTHERS     NOS.
CURRENT
BUSINESS
ACTIVITY
PRODUCTS DEALT IN
COMPANY   DEALER DISTRIBUTOR / C&F AGENT   PRODUCTS   TERITTORY   TURNOVER
       
       
       
TRADE
RELATIONS
FARMING
TEA ESTATES
LANDSCAPING
SUGARCANE PLANTATIONS
BANANA PLANTATIONS
         
FORESTS
GARDENING
COCONUT GROWERS
COFFEE PLANTATIONS
DEFENCE
         
GOLFCOURSES
OTHERS
OTHER
INFORMATION
ANY OTHER SUPPORT EXPECTED FROM THE COMPANY
or
ANY OTHER INFORMATION YOU WOULD LIKE TO GIVE US