Form

Distribution/ Dealer Form
Name

First NameLast Name
Company Name
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CorporateNetworkInternationalServiceEmployeeOthers
DealerDistributorDirect CustomerInstaller
ProprietorshipPartnershipCompanyOthers
Fresher/Starting New1-2 Years3-5 YearsAbove 5 years
Through Other DealersSocial MediaOthers
Two Reason To Partner with Durasol?
Brand you are currently dealing with - Please mention Brand Name and Approx. Turnover
Proposed Business with Durasol - (Write Monthly quantity in pcs for each) 1.Inverter 2. Batteries 3. Solar Panels 4. All-in-one Solar street light?
Banker
GSTIN
PAN
Branch Name
Should be Empty:

Distribution/ Dealer Form