Dealership Application
All the fields are mandatory.
Please allow us 24-48 hours to reach out to you.
Sign in to Google to save your progress. Learn more
Email *
I am a *
Name *
Contact Number *
City *
State *
Profession (Mention N/A, in case of a business) *
Company Name *
What categories do you do business/work in (Electric Vehicle, Solar, Contracting, Retail etc.)? *
Company Website *
Year Established (Mention N/A, if you’re an indiviudal) *
No. Of Employees (Mention N/A, if you’re an indiviudal) *
No. Of Sales Employees (Mention N/A, if you’re an indiviudal) *
Interested locations for dealership (Mention the cities you want to inquire about) *
Do you agree to purchase a Charzer Demonstration Unit (Rs. 14,000) for use in sales presentations? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy