Application Form

Personal Information

Name and surname:(*)
Enter your name.

Father name:(*)
Enter the name of your father

ID card number:(*)
Enter your ID

Date of birth:
please enter Date of birth

Issued at:(*)
Name Enter your location register

Email:(*)
plase enter your email

Address:(*)
please enter your address

Tel:
please enter your tel numberتتتتتتتتتتتتتتتتتتتتتتت

Mobile phone number:
please enter your mobile number

Store Address and Phone:
Enter your address and phone stores

Store Property Status:(*)
Typically specify ownership

Warehouse status(*)
Specify warehouse status

Area of warehouse:
Specify the storage area

 
How long experience have you of selling ceramic & tile?
Specify the duration of your store

Specify the duration of your store...

Name of company:(*)
Enter the company name

Representation duration:(*)
Enter your behalf Time

Year and average monthly purchase in the past year:(*)
Year and average monthly purchase in the past year session

Please declare your total sales last year.(*)
Please declare your total sales last year.

What is your requested quota(required meter) as monthly?
The contribution requested (area required) monthly session

Does have you cover other stores except direct distribution by your stores? (*)
Invalid Input

What kind of products do you prefer?(*)
Choose one of the options

What is your reasons to work with Aghigh Tile?(*)
Because of their desire to enter cooperation