İp Adresiniz :
38.107.191.108 ip adresiniz kaydedildi. Lütfen aşağıdaki ilgili yerleri doldurup gönderiniz.
<table bordercolor="#cccccc" cellspacing="2" cellpadding="2" width="100%" border="1"> <tbody> <tr> <td colspan="8"> <p align="center"><strong><u>BAYİLİK BAŞVURU FORMU</u></strong></p> </td> </tr> <tr> <td width="29%" colspan="4"><strong><u>GENEL BİLGİLER</u></strong></td> <td width="71%" colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Ticari Ünvan </strong></p> </blockquote></td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Adres </strong></p> </blockquote></td> <td colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Telefon </strong></p> </blockquote></td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Fax </strong></p> </blockquote></td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Vergi Dairesi / No </strong></p> </blockquote></td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>E-Mail 1 </strong></p> </blockquote></td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Web sitesi</strong></p> </blockquote></td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Bilgi Mesajı için (Fax Email) </strong></p> </blockquote></td> <td colspan="4"> </td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Firma Tipi (Market,Toptancı) </strong></p> </blockquote></td> <td colspan="4"> </td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Araç Sayısı <br /> ve plakaları </strong></p> </blockquote></td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Personel sayısı </strong></p> </blockquote></td> <td colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Aylık Çay satışınız</strong></p> </blockquote></td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td colspan="4"><strong><u>İLETİŞİM</u></strong></td> <td colspan="4"> </td> </tr> <tr> <td colspan="4"><blockquote class="style1"> <p>Yetkili ismi / ünvanı / Cep Tlf</p> </blockquote></td> <td colspan="4"> </td> </tr> <tr> <td colspan="4"><blockquote class="style2"> <p>Yetkili ismi / ünvanı/ Cep Tlf</p> </blockquote></td> <td colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"> </td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td valign="top" colspan="4"><strong><u>FİNANSAL</u></strong></td> <td valign="top" colspan="4"> <strong><u>BANKA ŞUBE HESAP TÜRÜ HESAP NO</u></strong></td> </tr> <tr> <blockquote> <p> <td colspan="8"> Hesap adı: Banka adı Şubesi Hesap no<br /> <table cellspacing="0" cellpadding="0" width="100%" border="1"> <tbody> <tr> <td colspan="3"> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td colspan="3"> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td colspan="3"> </td> <td> </td> <td> </td> <td> </td> </tr> </tbody> </table> </td> </p> </blockquote> </tr> <tr> <td valign="top" colspan="4"><strong><u>TİCARİ REFERANSLAR</u></strong></td> <td valign="top" colspan="4"> </td> </tr> <tr> <td colspan="4"> <strong><u>FİRMA</u> </strong></td> <td colspan="4"> </td> </tr> <tr> <td colspan="4"> <strong><u>YETKİLİ</u> </strong></td> <td colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"><strong><u>TELEFON</u></strong></td> <td colspan="4"> </td> </tr> <tr> <td valign="top" align="left" colspan="8" height="111"> <strong>İstekleriniz:</strong></td> </tr> <tr> <td valign="top" colspan="4">İlginiz için teşekkür ederiz. </td> <td valign="top" colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="4"> </td> <td valign="bottom" colspan="4"> </td> </tr> <tr> <td valign="bottom" colspan="8">Başvuru formunu gönderdikten sonra aşağıda belirtilen evraklarıda firmamıza kargo edebilirsiniz... <br /> 1) Ticaret Sicil Gazetesi Fotokopisi <br /> 2) İmza Sirküleri <br /> 3) Nüfus cüzdanı fotokopileri (Şirket ortaklarının) <br /> 4) Vergi Levhası </td> </tr> </tbody> </table>