Registration Form
*
indicates Compulsory Fields
Dealer Information
Type Of Dealership Offered
*
:
Select
value="0">Franchise
value="1">Franchise Partner
value="2">Trade Partner Dealer Distributor
value="3">Retailer
value="4">International
Type few words in the Box to Select Product Category
(Only 1 Product Category)
:
Selected Product Categories
Remove Selected
=$selproduct?>
Describe Your Dealership Offer in Brief
:
=$productcatfordealerdesc?>
Investment Expectations
Type Of Property Required
*
:
Select
value="shop_in_mall">Shop in Mall
value="shop">Shop
value="warehouse">Warehouse
value="high_street_shop">High Street Shop
value="restaurant">Restaurant
value="office">Office
Area Required
*
:
Sq. M.
Sq. Feet
Enter Area Required (Ex. 50).
Min. Turnover Required
*
:
Select
value="999999">less than 1 Million =CURRENCY?>
value="1999999">1 to 2 Millions =CURRENCY?>
value="4999999">2 to 5 Millions =CURRENCY?>
value="9999999">5 to 10 Millions =CURRENCY?>
value="10000001">More than 10 Millions =CURRENCY?>
value="0">Not Required
Manpower Required
*
:
Select
value="9">0 to 10
value="19">10 to 20
value="49">20 to 50
value="99">50 to 100
value="101">More than 100
Investment Capacity
*
:
Select
value="999999">less than 1 Million =CURRENCY?>
value="1999999">1 to 2 Millions =CURRENCY?>
value="4999999">2 to 5 Millions =CURRENCY?>
value="9999999">5 to 10 Millions =CURRENCY?>
value="10000001">More than 10 Millions =CURRENCY?>
value="0">Not Required
Detailed Information of Dealership
Annual Expected Sell
*
:
Select
value="999999">less than 1 Million =CURRENCY?>
value="1999999">1 to 2 Millions =CURRENCY?>
value="4999999">2 to 5 Millions =CURRENCY?>
value="9999999">5 to 10 Millions =CURRENCY?>
value="10000001">More than 10 Millions =CURRENCY?>
value="0">Not Required
Dealership offered in Countries
*
:
'') { echo $dealershipincountries; } ?>
=getDealerCountryCombo()?>
Dealership offered In Cities
*
:
Enter City Name belongs to above Country Name (Ex: =CITY_NAME?>).
Current Number Of Dealers
*
:
Select
for ($i=1;$i<100;$i++) {?>
value="=$i?>">=$i?>
} ?>
Marketing Material Available
*
:
value="1" class="required" /> Yes
value="0" /> No
Why Join
*
:
=$whyjoin?>
Describe Why Companies Should Join
Support From Company
*
:
=$supportfromcompany?>
Enter Support Given by Company
Benefit To Dealer
*
:
=$benefittodealer?>
Describe Benefit to Dealers
Exclusive Rights Given
*
:
value="1" class="required" /> Yes
value="0" /> No
Performance Guarantee By Company
*
:
value="1" class="required" /> Yes
value="0" /> No
Return On Investment ?
*
:
Enter ROI (Ex: 10-15% ).
Pay Back Period
*
:
Enter Period (Ex: 1-2 Years).
Other Details
*
:
Enter other Details
Operating Manual
*
:
value="1" class="required" /> Yes
value="0" /> No
Training Location
*
:
Enter Location where training will be conducted (Ex: Mumbai)
Assistance Available
*
:
value="1" class="required" /> Yes
value="0" /> No
Head office Assistance
*
:
value="1" class="required" /> Yes
value="0" /> No
Standard Agreement
*
:
value="1" class="required"/> Yes
value="0" /> No
Period for Contract
*
:
Enter Contract Detail in Month/Years.
Renewable
*
:
value="1" class="required"/> Yes
value="0" /> No
if($G_usercompanyid > 0) {?>
My Company Information
Company Name *
:
Your Name *
:
} ?>
My Company Certifications & Other Information
Product Quality Certification
if ($certificateimagethumbfilepath!=''){?>
} else {?>
}?>
Upload file
Upload Company Licence / Registration Documents of =$companyname?>
Select
Company Licence
GST Certificate
IEC Certificate
if ($elitememberfilepath!=''){?>
} else {?>
}?>
Upload file
Type of Company
/> Manufacturer
/> Manufacturer Exporter
/> Trader
/> Trader Exporter
/> Importer
/> Restaurant
/> Marketing Agency
/> Beauty Salon
/> Cofee Shop
/> Hotels
/> Night Club
/> Shopping Center
/> Grocery
/> Automobile
/> School Colleges
/> Clinics
Annual Turnover
/> US$ 0 to 1 Million
/> US $ 1 Million to US$ 10 Million
/> US $ 10 Million to US$ 100 Million
/> More than US$ 100 Million
No Of Employees
/> Upto 10
/> 10-50
/> 50-100
/> More than 100
Company Presence in
/> Single Country
/> Multiple Countries
if($G_isElite == '1') { ?>
Additional info
=$companyadditionalinfo?>
}?>
if($G_usercompanyid == 0) {?>
Company Login / Register
Company Allready Register
*
:
Yes
No
MEMBER LOGIN
Invalid User Name or Password. Please Try Again.
My Company Information
Company Name *
Your Name *
Mobile No *
Country *
Select Country
=getCountryListForCombo()?>
City *
Select City
=getCityListForCombo()?>
User Name *
User Name Allready Use please enter New Valid User name .
Password *
} ?>
I agree to the =SITE_NAME?> Terms and Conditions.
} ?>