Distributor Request FormGreen Duck2021-01-12T05:26:53+05:30 India’s 1st & Largest Manufacturer of Waterless Car Wash Products DISTRIBUTOR REQUEST FORM First Name Last Name Email Mobile number Do you have a registered business under GST? Yes No If Yes, Business Name? Description of your Business? Years in Business? 123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100 Website Geographic Territory Desired Do you want to become a Dealer or Distributor? Dealer (Purchases goods from Distributor. There can be multiple dealers in a territory) Distributor (Purchases goods from Manufacturer. There can be only 1 distributor in a territory) SEND
