A Joint Venture of Westec Limited Bangladesh & Westec.Com Inc. U.S.A

Dealers Program
Please provide the following contact information ( * fields are required):

  Name of the Company *
  Address  
  Phone *
  Holding No *
  Street Name *
  Municipality Name *
  Police Station *
  District *
  Name of the Owner *
  (if propritorship)
  Name of Directors *
  with Designation (at least two) 		a.  
  b.  
  List the name of the companies
  for your current dealership 		a.  
  b.  
  c.  
  d.  
  Gross Turn Over (Sales) for the current Business
  (For the financial year 2003)    
  Do you have        
  The Trade License Yes No
  TIN Number: (Tax Identification Number) Yes No
  Own the business location? (office or store) Yes No
  Willing to put Bayphones signboard? Yes No
  How many phone lines you can
  sale in your area in one year?
  REFERENCE OF TWO RESPECTABLE PERSON
  1. NAME  
          Address  
                  Phone  
  2. NAME  
          Address  
                  Phone  

I/We hereby declare to the effect that the information disclosed herein above is true and authentic. I/We also undertake to accept all the standard terms and conditions for the dealership of BAY PHONES, if selected by the competent authority.