İp Adresiniz : 38.103.63.18 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">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Ticari &Uuml;nvan </strong></p> </blockquote></td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Adres </strong></p> </blockquote></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Telefon </strong></p> </blockquote></td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Fax </strong></p> </blockquote></td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Vergi Dairesi / No </strong></p> </blockquote></td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>E-Mail 1 </strong></p> </blockquote></td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Web sitesi</strong></p> </blockquote></td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Bilgi Mesajı i&ccedil;in (Fax Email) </strong></p> </blockquote></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Firma Tipi (Market,Toptancı) </strong></p> </blockquote></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Ara&ccedil; Sayısı&nbsp;<br /> ve plakaları </strong></p> </blockquote></td> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td colspan="4"><blockquote> <p><strong>Personel sayısı </strong></p> </blockquote></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4"><blockquote> <p><strong>Aylık &Ccedil;ay satışınız</strong></p> </blockquote></td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td colspan="4"><strong><u>İLETİŞİM</u></strong></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td colspan="4"><blockquote class="style1"> <p>Yetkili ismi / &uuml;nvanı / Cep Tlf</p> </blockquote></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td colspan="4"><blockquote class="style2"> <p>Yetkili ismi / &uuml;nvanı/ Cep Tlf</p> </blockquote></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4">&nbsp;&nbsp;</td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td valign="top" colspan="4"><strong><u>FİNANSAL</u></strong></td> <td valign="top" colspan="4">&nbsp;<strong><u>BANKA ŞUBE HESAP T&Uuml;R&Uuml; HESAP NO</u></strong></td> </tr> <tr> <blockquote> <p> <td colspan="8">&nbsp;Hesap adı:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Banka adı&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Şubesi&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;Hesap no<br /> <table cellspacing="0" cellpadding="0" width="100%" border="1"> <tbody> <tr> <td colspan="3">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td colspan="3">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td colspan="3">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</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">&nbsp;</td> </tr> <tr> <td colspan="4">&nbsp;<strong><u>FİRMA</u>&nbsp;&nbsp;</strong></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td colspan="4">&nbsp;<strong><u>YETKİLİ</u>&nbsp;&nbsp;</strong></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4"><strong><u>TELEFON</u></strong></td> <td colspan="4">&nbsp;</td> </tr> <tr> <td valign="top" align="left" colspan="8" height="111">&nbsp;<strong>İstekleriniz:</strong></td> </tr> <tr> <td valign="top" colspan="4">İlginiz i&ccedil;in teşekk&uuml;r ederiz.&nbsp;</td> <td valign="top" colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="4">&nbsp;</td> <td valign="bottom" colspan="4">&nbsp;</td> </tr> <tr> <td valign="bottom" colspan="8">Başvuru formunu g&ouml;nderdikten sonra aşağıda belirtilen evraklarıda firmamıza kargo edebilirsiniz... <br /> 1) Ticaret Sicil Gazetesi Fotokopisi <br /> &nbsp;2) İmza Sirk&uuml;leri <br /> &nbsp;3) N&uuml;fus c&uuml;zdanı fotokopileri (Şirket ortaklarının) <br /> &nbsp;4) Vergi Levhası&nbsp;&nbsp; &nbsp;</td> </tr> </tbody> </table>