Patron Membership

Your Company Name(Required)

Mobile Number(Required)

Business Address

Landline Number

State Name(Required)

City Name(Required)

Name(Required)

First Last

Email(Required)

Number of Drivers

Number of Account/Data Operator

Number of Dependent Family Members

Please enter a number from 0 to 15.

Number of Support Staff & Others

Number of Years in Business

Please enter a number from 0 to 50.

Number of Employees

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GST Number

Don't have a GST number ?

I am not eligible for GST registration

I will register for GST later

Numbers of Sales Staff

Numbers of Delivery / Loading staff

What Brands do You Deal in?

In addition to FMCG Distribution, we are

Manufacturer

Retailer

Dealer

Website

Patron Membership(Required)

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