CONCEPT PUBLISHING COMPANY (P) LTD.

A/15-16, Commercial Block, Mohan Garden

NEW DELHI - 110059 (INDIA)
Phones : 25351460, 25351794 Fax : 011-25357109
E-mail : publishing@conceptpub.com
Show Room :
4788/23, Ansari Road, Darya Ganj, New Delhi-110002 Phone: 23272187

DEALERSHIP QUESTIONNAIRE
1. Full name and address 2. Year of Establishment
3. Email
4. Phones(O) :
5. Phones(R) :
6. Name of Proprietor/ Partners Residence Phone Number
i.
ii.
iii.
7. Name and Address of Banker/s

8. Whether Publisher Wholesaler Bookseller Library Supplier

9. Associations of which you are a Member
i.
ii.
iii.
10. Names of at least three publishers of DELHI with whom you are having direct dealings on credit basis.
i. Year Credit Facility (days)
ii. Year Credit Facility (days)
iii. Year Credit Facility (days)
11. Quantum of S/o (Copies) 9. Expected credit limits (in Rupees) Rs.
12. Expected credit period (from date of billing)
Expected Annual turnover of business Rs.
13. Name of the Transport
(Booking address of Delhi Office)
14. Subject specification (if any)

Payments
1. We will return the unsold stock by 30th April every year.
2. Account should be settled by 31th May every year.
3. Payments will be made by Demand Draft payable at Delhi/New Delhi only.
4. We hereby confirm and agree to the above terms and conditions for our mutual business benefits.

Date : Signature with stamp

 REMARKS OF SALES EXECUTIVE/OFFICE

1. Standing Order (HB) (PB)

2. Discount (HB) (PB) Freight Paid To Pay Full Half

3. I hereby confirm Yes No

4. Remarks (if any)

Signature

Date

FOR OFFICE USE

1. Addition in S/o List

2. Mailing Card for Computer (Trade)

3. New File

4. Discount Schedule