Distributor Application Form

Before completing this application form, please register as a member of this website (click on My Account to register).

PLEASE COMPLETE ALL SECTIONS OF THIS FORM – USE EXTRA SHEETS IF NECESSARY

1. COMPANY INFORMATION

Annual Sales (in US$) for the past three years: (We request this information even for private companies. (Confidential data will only be shared between Paudi and our client)

2.COMPANY PROFILE

3.SALES PROJECTIONS

PLEASE COMPLETE UNIT SALES AND VALUES IN US DOLLARS.

4. PLEASE STATE YOUR ESTIMATED SALES (DELIVERIES) PERCENTAGES

PRODUCT DISTRIBUTION CHANNELS (PLEASE CHECK ALL THAT APPLY)

PLEASE CHECK THAT YOU HAVE COMPLETED ALL THE SECTIONS OF THIS FORM TO AVOID DELAYS TO YOUR APPLICATION

2 + 3 = ?