ACL Forms

DEALERSHIP APPLICATION FORM

1. Organization Name *

2. Enter your Full Name? *

3. Email *

4. Alternate Email *

5. Contact *

6. Alternate Contact *

7. Company GST? *

8. Please provide the company 10-digit PAN (Permanent Account Number)

9. Please select the type of entity. *

Proprietor / Partnership

Private Limited Company

Public Limited Company

10. Please specify your experience in the acrylic sheet industry? *

1-2 Years

3-5 Years

Above 5 Years

Above 10 Years

Above 20 Years

11. Primary Industries Served by you? *

Signage / Display

Interior Design & Architecture

Furniture & Modular Kitchen Manufacturing

Retail & Showroom Fabrication

Building & Construction

Lighting & LED Fixture Manufacturing

Electronics & Electrical Enclosures

Acrylic Art, Crafts & Custom Fabrication

Other

12. Which ACL business model are you interested in? *

ACL Authorized Gold Agent in your territory.

ACL Authorized Gold Dealership in your territory (If you have a warehouse/distribution center)

13. Please specify the Territory/Region you intend to operate as an ACL Agent/Dealer. *

14. What is your company current financial year sales in quantity (mt)?

15. What is your company current financial year sales in value (Rs.)?

16. Do you have a warehouse or distribution center? *

Yes

17. What benefits do you expect as an ACL Agent/Dealer ? *

Access to a wide portfolio of sheets

Competitive pricing

Attractive rebates/discounts/ commission based on sales performance.

Technical support

Early access to price changes

Installation Support

Off Cuts

18. Briefly describe your company special capabilities, which stands out from competition. *

19. How soon you intend to start as ACL Agent/Dealer ? *

20. Upload GST Certificate (PDF) *

Upload your gst certificate in PDF/Image format (max 2MB)

21. Upload PAN (Image or PDF) *

Upload your PAN (max 2MB)