Dealer Application

Importers of:

Dealer Application Form

We are going to ask you to supply us with some background and financial information about you and/or your company. Please supply as much information as required, to ensure we can make the right decision.

^* Compulsory Fields

Company Details
Company Name ^*
VAT Number ^*
Postal Address ^*
Physical Address ^*
In which Town/ City are you situated? ^*
Province ^*
Country ^*
Are you situated near a good route? ^*	Yes No
Please supply details ^*
Telephone Number ^*
Fax Number
E-mail Address ^*
Website Address	http://

Contact Person
Name & Surname ^*
Cellphone Number ^*

Operational
Do you have a showroom? ^*	Yes No
If Yes, please supply details
If No, can machinery be kept under covered parking?	Yes No

Do you have a workshop? ^*	Yes No
If Yes, please supply details

Do you have at least 1 qualified mechanic? ^*	Yes No

Do you have a salesperson? ^*	Yes No

Financial
Will you be able to supply financial statements for the last financial year of your company? ^*
	Yes No
If No, please state reasons

Will you be able to arrange a bank guarantee / floor plan for the amount of the stock supplied to you, prior to delivery? ^*
	Yes No

Will you be able to pay the equipment upfront? ^*
	Yes No

Will you be able to carry stock of at least three machines to the value of about R 300,000? ^*
	Yes No

Will you be able to keep spare parts in stock to the value of at least R 20,000? ^*
	Yes No

Approval
If you have qualified, we will contact you to inform you about the next step.