Dealership Application Form - Shahab Tousheh Co.

Agency application form and conditions

"*" indicates required fields

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Sales Agency Request

First and last name*

Age

Please enter a number from 20 to 100.

Province*

State / Province / Region Country

Type of sales activity

Provinces and cities covered

Store or office name

Store or office address

Telephone*

Mobile*

Store location

Area*

Please enter a number from 80 to 500.

Owner status

Number of sellers*

Please enter a number from 0 to 50.

Are you equipped with transportation and distribution facilities?

Yes

Warehouse ownership status

Warehouse area*

Please enter a number from 100 to 500.

Do you have experience working in the lighting industry (lamps or lights) with another brand?

Brand name*

Duration of cooperation*

How much do you spend annually on different types of lamps and lights?*

Please enter a number from 50000000 to 500000000.