Dealership Application Form

Business Name(*)

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Company Address(*)

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Billing Address(*)

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Zip(*)

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Shipping Address(*)

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Zip(*)

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Nature of Business(*)

CORP_SMB - SELLS IT PRODUCTS TO CORPORATE OR MAJOR COMMERCIAL CUSTOMERSGOVERNMENT – SELLS IT PRODUCTS TO GOVT AGENCIESRETAILER - HAS MULTIPLE STOREFRONTS IN A RETAIL MALLSYSTEM BUILDER – ASSEMBLES PERSONAL COMPUTERS FOR FINAL SALE AND/OR RESALE Invalid Input

Date of Business Started(*)

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No. of Years in the Industry(*)

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Number of Employees(*)

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Telephone Number(*)

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Fax Number(*)

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Email Address(*)

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Website

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COMPANY OFFICERS

President/Gen. Manager(*)

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Accounting Manager(*)

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Finance Manager(*)

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Address(*)

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Address(*)

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Address(*)

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Mobile Number(*)

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Mobile Number(*)

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Mobile Number(*)

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Email Address(*)

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Email Address(*)

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Email Address(*)

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Corporation/Partnership

SEC Number

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Date Issued

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Subscribed Capital

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Authorized Capital

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Paid Up Capital

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TIN Number

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Documents Required:
1. Proof of Billing (Meralco, PLDT, etc)
2. SEC Registration Certificate w/ Articles for Incorporation 3. Latest Mayor’s Permit or Business Permit
4. Photocopy of two (2) Valid ID’s

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Refresh

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Submit Dealership Form

Sole Proprietorship

DTI Registration Number

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Date Issued

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Amount Capital

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TIN Number

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Documents Required:
1. Proof of Billing (Meralco, PLDT, etc)
2. DTI Registration Certificate
3. Latest Mayor’s Permit or Business Permit
4. Photocopy of two (2) Valid ID’s

Upload

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