Application Form

Haideo alliance request form
Agent area:   The applicant signs:   Date of request: Year Month Day
Agent category:   The single shop agent      the urban agent      the region agent      the provincial agent 
Pump year sales volume:     within 500,000 RMB      50-80 ten thousand RMB      80-100 ten thousand RMB      above 1,000,000 RMB 
Investment person (legal person) name: Sex: Age: Years of schooling:
Corporation/individual contact method: Telephone: Handset: Facsimile:
E-mail: QQ:
management/correspondence detailed address:
From where learns about the Haideo brand ?     Newspaper      Exhibition      Outdoor advertising      Propaganda sample      Friend introduced      Website 
Once/the present management product type: 
engaged in this profession time:
what the local water pump brand sale is best:   1、 2、 3、 4、 5 、
had acted what kind of brand water pump sale: asp:TextBox ID="TextBox21" runat="server" CssClass="CompanyT">
Your excellency suggested to Haideo: