:: VANI PRIVATE LIMITED ::

	Become a Retailer form

	Want us be your Dealer

	Contact Us

Thank you for your keen interest in retailing our products in your stores. We would really appreciate it if you could spend a couple of minutes filling out the form below. Once this form reaches us a representative from Vani will contact you

Store Name*

Owner’s Name

Manager’s Name*

Address*

Telephone Number*

Telephone Number 2

Fax Number

Mobile Number

E-mail Address

Website

Do you presently have a relationship with Vani?

Yes

What kind of products does your store primarily deal in?

How big is your store in terms of size?

How many sales persons do you have in your store?

What of our products are you interested in retailing in your store? *

Why do you want to retail the above mentioned products in your store?

How did you hear about us?

Items marked with * are compulsory

Thank you for your time and interest once again. We look forward to doing business with you in the future!

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