Business Enquiry Form
Company Name*
Name of contact person*
Complete office address*
Mobile*
Office telephone*
Email*
Fax
Website (if any)
Type of company
When founded (Mention Year)*
Years of experience*
List names of companies you are associated with
Companies name with Exclusive basis*
Companies name with Non- Exclusive basis*
Turnover for last 3 years*
Number of sales personnel*
Number of service personnel*
Name of your top 5 prime customers*
How do you come to know about Accuster?
Why are you interested in our company/products?
How do you want to promote our products?
Are you dealing with medical equipment ?