REQUIRMENTS

GENERAL INFROMATION

DEALER CLARIFICATION

CONTACT INFORMATION

AUTHORIZATION

BANK DETAILS

COMPLETED






Required Documents:













A. GENERAL INFROMATION

Business Name / Store Name :
Nature of business :
BIR 2303 Registration year:
B. SALES TERITORY




C. TYPES OF BUSINESS


Billing Address :
Delivery Address (if different) :
TIN # :
D. OFFICE


Office Tel No :
Website :
SEC Reg No and Date :





E. DEALER CLARIFICATION

F. TRADE REFERENCE / EXISTING SUPPLIERS

Company Name :
Contact Person :
Contact Number :






G. CONTACT INFORMATION

Name :
Position :
Email :






H. AUTHORIZATION

1.) Authorize to issue P.O (Purchase Order) for your company.

Name :
Contact No :
Designation :
Email :


2.) Authorized person to receive goods / items delivered to your premises.

Name :
Contact No :
Designation :
Email :





I. BANK DETAILS


Bank Name :
Contact No. :
Address :
Account No :









Aug 19, 2017