Apply For Distribution – Louis Cardin

Louis Cardin Agency Application Form

Name Of Company

Company Registration Number

Date Of Company Registration

Type Of Organization

If Type of Organization is Other

Nature of Business

Nature Of Business

Importer Distributor Retailer

Total No of Employees

Name Of Owner (s)

Telephone Number (s)

Address

Preferred Mailing Address

Bank Details

Which Districts/Region you wish to Operate

What is your annual turnover with each agencies ?

Brand Name

Turnover USD ($)

Your Past Experience in Perfumery / Watch / Personal Care Business

brand 1

Turnover 1

Do you carry other Agencies, If yes please name them.

brand 2

Turnover 2

Total Capital you wish allocate for this agency (In USD [$])

brand 3

Turnover 3

Expected Annual Purchase with Louis Cardin (In USD [$])

brand 4

Turnover 4

What will be the Mode Of Shipment

Container LCL Air Cargo Self Collect

Own Warehouse

Yes No

Number of sales people

If Yes, Size of facility (sq ft)

Number of delivery vehicles

If Yes, Location of facility

Authorised Person
to Conduct Business Affairs

Name

Position

Tel Number

Mobile Number

WhatsApp Number

Attach Company Profile

company profile

Attach Trade License

Trade License

Marketing Plan

Declaration :

1. All information in this provided herein are true and correct and does not contain any false information.

Yes No

2. I/we have never committed any offence such as breach of trust, fraud or forgery or being an accomplice/helper/assistant in the said crimes.

Yes No

3. I/we have never been found guilty for fraud, dishonesty or giving false statement against any company or individual.

Yes No

4. I/we have never been declared as a bankrupt.

Yes No

5. I/we have never traded in any counterfeit product.

Yes No

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