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Dealer Application Form

Disclaimer: The company's distribution partners are limited to companies and not individuals. If you intend to become a distributor of Wagner products, please read the relevant terms carefully, complete the application form and send it. By sending, you agree that Guangdong Wagner will investigate the information you provide, and do not consider the investigation to be a violation of your privacy. We will consider and review based on the information in this form, and may discuss with you the possibility of cooperation and plans. All information recorded in this form is promised to be kept strictly confidential and not used for other purposes.
Form Type: * Confidential Information *
Basic information of the applicant company
Name gender age Client job
identification number Mobile phone Fixed telephone
Application Company Basic Information
Application company name Whether the general taxpayer Yes no
Application company address Postcode
contact number fax Website or Email
Main business
Employee status
Annual sales Registered capital
Business Intent. Apply (province) (City) distributor Distributor of Series Products
Plan to invest RMB ( ) (RMB) Estimated annual sales: ¥ ( ) Around (RMB)
Regional introduction
Courier information
Reasons for choosing Wagner
Your company's advantages in applying for distribution

Relevant experience, achievements, development ability, etc .:

Technical personnel and technical capabilities in electrical engineering, electrical maintenance, hardware installation engineering