Dealer Registration Form

Fields marked with * are required

Contact Name * :


First Name	Last Name

Business Name * :

Address * :

Phone * :

Fax :

Mobile :

Email * :

Location :
(be specific) for which dealership is required

Nature of current business :

No. of years in current business :

Experience :
(in years) in selling, building of home improvement products or services

No. of years in previous business (if any) :

Trade/professional credits :

What is your company's technical expertise or knowledge of wardrobes? (if any) :

What other brands of building or home improvement products are you currently carrying? (if any) :

How do you get to know about Simply Wardrobes? * :

1. Your application will be thoroughly reviewed by the Supplier Company by :-

Responding to you via email to verify the receipt of your dealer application
Conducting research and rank your desired location for sales and market penetration potential
Reviewing your skills, experience and credentials relative to our selection criteria

2. Provision of false or misleading information may result in termination of agreement even after being appointed as our dealer.

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