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BioTHIK™ Distributorship Form
We would like to thank you for your interest in being our distributor do kindly fill in all details in the form, all 3 sections need to be completed.
Name of Person in Charge (PIC): ** Business Address **:
Contact No **: Company Name**:
Mobile No**: Company Registration No:
Corporate Website: Company sales turnover (USD$)**:
Email address **: Target Audience /
Channels covered**:
Business Type: ** Products on hand **:
Year of Establishment: Brands on hand**:
Countries that you work with/product from which country that you bring in:** Distributor region interested**:
Geographic area covered:** Do you have a Branch office? Yes No
    If yes which countries
Products that you are interested in
(Multiple selections possible)**
How will you position BioTHIK compared to existing brands on hand?**:
Exclusive Distributorship: Yes No No of Total employees & staff involved in sales & marketing for BioTHIK:**:
Will you carry any other competitor brand with BioTHIK? Yes No What marketing activities will you do to promote the BioTHIK brand?**:
   
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