Dealer Registration Form- Personal Flotation Craft and Float Tubes

DEALER REGISTRATION FORM

Yes, I would like to stock your Dabbie Products

We would like to register as a dealer to stock a range of your Dabbie Products which we believe will suit our customers requirements - We also undertake to make customers aware of the other products in the range and to promote the concept of "Customer Satisfaction".

Print this form - fill out and post to -
Dabbie Products, P.O. Box 34171, Northdene, 4064, Durban, South Africa

PLEASE PRINT NEATLY

Trading Name of Business: -

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Name of Business (if different to Trading Name):-

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Physical Address:-

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State:-

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Code/Zip:-

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Country:-

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Postal Address:-

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Owners Name (full name please):-

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Other names of Managers, Buyers etc who also are involved in the business:-

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Country Dialing Code:-

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Area Dialing Code:-

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Telephone No:-

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Fax Number:-

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Home Number:-

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Email Address:-

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Cellular Number:-

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Your website URL Address:- http://www.

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Signed - Owner / Applicant: .......................................................... Date: ....................................

PLEASE ATTACH THE FOLLOWING:-

Photo of shop (optional)

Photo of owner / applicant

Sample of Letterhead

Sample of Business Card

Photocopy of Business Licence