.: Dealer Sign-up Form

Interested to join Colossus Technology Sdn Bhd as a dealer? Just fill up this form and send us the required documents, we will get back to you as soon as possible. Please note that input boxes with * are compulsory to fill in:
Company Name :
Registration No. :
Company Owner :
Incorporation Date :    
Contact Person :
Tel No. :
Fax No. :
Email :
Address :
URL :


Nature of Business : Retailer
Distributor
Service Provider
System Integrator
Cyber Cafe
Others 
Annual Turnover :
No. of Employees :
Please provide information regarding your current suppliers:

Supplier name Terms Credit limit
days
RM
days
RM
days
RM
Remarks :


I would like to provide the following document for faster processing:
(You may fax or email to us, see our contact info)
Limited company : Form 9
Form 24
Form 49
Business Card
Sole proprietor/       Partnership : Business Registration
Borang D
Business Card
     
 



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