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Agent's Order Submission Form

This form is only for registered customers with us, who have their unique customer ID or our Agents/ Distributors can use this form. New customers, plz. click here to submit your details...


Agent/ Distributor/ Customer ID * :
Enquiry Type * :
Order Type * :
Freight Mode :
Delivery Place, if Order type is other than FOB
Mention Your Nearest Air Port :
Mention Your Nearest Sea Port :
Request Date * :
Request Completion Days Needed :
Select Currency * :
Payment Type * :
Need Credit Facility :
If Credit Facility is Yes, Please provide your Credit Control Number, provided by us
Packing Type Needed :
If Special/ Branded Packing selected above, Please provide the details as per your requirements
Contact Person * :
E-mail * :
Do you want a Copy of your Order Details
Phone * :
Fax :
Please Input Your Order Details, as given Example

Please provide the details of your order as given example below (Please press ENTER key for entering details of next product) * :

01 Item Code X, Quantity, Color, Size, Remarks[If any]
02 Item Code Y, Quantity, Color, Size, Remarks[If any]
and so on.....

Forgot Item Codes?? Please Select the Product catagory to see Item Codes

** Remark - In place of Item Code, you can also provide sample number, if we have send any sample to you

Image Verification code * : verification image, type it in the box
Note: The fields shown by * are the mandatory fields.