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  Basic information
  *Company Name:
  *Contact Person:
  Distributor Code:
  *Email Address:
  *Country
  *City Name:
  Phone:
  Fax:
     
  *Whether engaged in electronic cigarette sales: Yes      No
  If yes, please fill the following information for us. If no, please kindly skip to the questions set by us.
   
  Business Dimensions
  *Business license: Yes      No
  VAT Nummer:
  Staffs Qty:
  *Offline Shops Qty:
  Any website is available:
  How long have you been
in this business:
  *Current sales territory:
 
Annual Sales Volumn
US$/Year  
   
  Business Method
  Wholesaler
 
  Sell to website shop
Sales%     
 
  Sell to offline shop
Sales%     
  Retailer
 
  Sell from website shop
Sales%     
 
  Sell from offline shop
Sales%     
   
  Brand Status
 
  Joyetech Brand
Sales%     
 
  OEM Brand
Sales%     
 
  Other Brand
Sales%     
   
  Comment/Remark
  Such as more introduction about you, proposals on us, your business plan
 
   
  Verification code