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1
Basic Company Information
2
Business Background
Trade Name(Optional)
Registered As
VAT/TAX Number(Optional)
Registered Country(State)
Registered Address
Billing Address(Optional)
Delivery Address
Company Website Address(Optional)
Online Store Link(Optional)
Social Media Link(Optional)
Other(Optional)
Name
First
Last
Job Position
Phone
Fax(Optional)
Email
*
Next
Main Business Description(100 words or more)
Years in Business
Years in Related Product Sales
Average Annual Sales Revenue Over the Last Three Years (USD)
Total Number of Self-owned Stores
Total Number of Employees
Are you registered as a dealer for other Hollyland related products? If so, please specify the brand(s).
Yes
No
Are you currently registered as a sub-dealer for a Hollyland authorized dealer? If so please specify the dealer name.
Yes
No
Third Choice
Which of the following products do you plan to sell Hollyland products to? (Check all that apply)
Wireless Video Transmission System
Wireless Monitor
Wireless Intercom System
Wireless Microphone
Camera
In which states or cities do you plan to sell Hollyland products?
What is your Hollyland sales forecast in revenue (USD) for the first six months after becoming a dealer?
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