| This
Distributor Authorization Application is the first step in obtaining
information to distribute ALCAVA , AlcaPower & RMS products.
Please
complete all applicable sections.
Just send to us the above form , we may request further
information, afterwards you will receive the detailed concept as a
hard copy and or htm pages . Mutual interest provided, we will
have some informal meeting, first covered by a NDA , non-disclosure
agreement. During the whole process and, in case we cannot
reach an agreement, even afterwards, confidentiality is assured.
This
Application does not constitute " distributor authorization".
Based on this information, RMS INT’L and the Applicant may conclude
an Authorized Distribution Agreement.
We
need also to receive a copy of Certificate of Registration at Chamber
of Commerce of your country.
Thank
you for your interest !
Applicant
certifies that all information provided on this form is true and
accurate. |
Name
(required)
:
Title:
Date (required):
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1.
PRIMARY LOCATION
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Company
Name (required):
Mailing
Address: Street
or Box #
City:
State/Province:
Zip Code/Postal Code:
Country:
Shipping
Address:
City:
State/Province:
Zip
Code/Postal Code:
Country:
Telephone (required):
Fax
(required) :
Email (required)
:
Web Site URL:
Location
has Authority for:
Location has Authority for:
Ordering
Shipping/Receiving
Billing ( by RMS INT'L )
Location
Contacts for
General
Management:
Sales/Ordering:
Marketing/Promotion:
Shipping:
Credit:
Service:
National ID # or Mecanographic Certificate Number ( when it occurs )
European Community VAT #: ( when it occurs )
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2.
ORGANIZATION
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We
also encourage business contact with small or family companies !
Number
of Personnel in:
Executive/Administrative:
Technical/Engineering:
Sales:
Service:
Technicians
Other:
Square Metrage (approx)
Service
Vehicles:
Number
of Vehicles:
Type of Vehicles:
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3.
BUSINESS DESCRIPTION OF YOUR COMPANY
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| Please
describe your core Business
Type
Number of Customers
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4.
RMS INT'L PRODUCT INTEREST
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| Please
mark all RMS Product Groups that you are interested in reselling
and for each product, please indicate other manufacturer's
products which you currently resell, distribute, or represent ( if it
occurs)
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|
Submit
to: European
Markets Dep.
Submit
to: Global
Market Dep. |
