Become Distributor

Application for Distributorship for Mehta's Product Range.
Interested in Country State City
Interested in Mehta's Products.     [ select the products by tick on checkbox ]
 CNC Routers
 Laser Engraving and Cutting Machine
 Fiber Laser Metal Cutting Machines
 Plasma Cutting Machine
 Fiber Laser Marking Machine
 CNC Stone Engraving Machine
 Laser Engravable Materials
Please provide us your company details
Company Name *
Your Name* Designation
City State/Province Country Zip
Email Id * Mobile *  (with ISD Code) Phone  (with ISD Code) Fax  (with ISD Code)
Name of Proprietor/Director(s)/Partner : 1. Mobile no.  
  2. Mobile no.  
  3. Mobile no.  
Year of Establishment of Company          
Range of products you deal with 1.
Annual Turnover    
Number of Employees    
Any other sales offices or branches in your region :    
What is your type of business? Manufacturer Distributor Agent
Do you have warehouse Facility? Yes               No
Tell us the regions where you have good sales coverage?
What type(s) and brand(s) of products does your company sell?
Is your company represents any brand which is similar to our product range? (If yes, then specify its name and product details)
Do you make your own sales brochure? Yes               No
Do you participate in local trade shows? Yes               No
Number of machine approximately you can sell per month
CNC Router
Laser engraving and Cutting Machine
Fiber Laser Metal Cutting Machine
Plasma Cutting Machine
Fiber Laser Marking Machine
CNC Stone Engraving Machine
 What do you expect from us ?
Would you place sample order immediately?
Any other things you would like to share with us?
Captch Code * + =