Baniaz order form
Name of Business *
Address of Business Full Address
Name and Phone details of owner of business
Name and phone details of Contact person/ Manager
Number of shops/outlet
Interested area of business coverage e.g state/pronvince
Previous/ Current Fast moving consumer goods (MCG dealership) "if Any"
DO YOU DISTRIBUTE LOCAL & IMPORTED JUICE,BEVERAGE OR OTHER FMCG PRODUCTS
IF YES, NAME(S) OF COMPANY(S)
Major Distributor/Minor Distributor
Current working capital outlay
proposed monthly purchases
Banks name
Banks location
Other Assets (as available e.g sales van, warehouse storage, landed (as available e.g sales van, warehouse storage, landed properties etc)
Proposed date of commencement of business with Baniaz H.C LTD
Submit *