Reseller Partner / Distributorship On-line Form
 
We are interested in becoming distributor for the i-Diagnosis GPS Tracking solutions. Details of our present business and other related information is being given below. Please consider our proposal for distributor for i-Diagnosis GPS solutions and let us know the further action for the same.
 
 Name* First Last
Company Name* :
Company Type* : Annual Turnover
Details of your current business* :
Manpower (Nos.) : Technical Sales Manpower
   
Contact Details
   
Office Phone No* : Mobile No.
Fax No :
E-Mail 1* :
E-Mail 2 :
I am interested in
(Pl indicate Product(s) *:
 
We agree to receive product details from i-Diagnosis Telematics Private Limited and also to contact us for the products from time to time.
   
  * Denotes compulsory fields