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ALLTEST Distributor Request Form 20210731

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Hangzhou Alltest Biotech Co., Ltd.

550# YinHai road, Hangzhou Economic & Technological Development Area,Hangzhou, Zhejiang, P.R.China 310018
www.alltests.com.cn

Alltest Distributor Form

Company Name: Territory/Regions on


distribution:
CE Registration Company Registration
Number/Medical device number
sales license number
Company Establish
Time:
Company Website:
Main Products:
Rapid Test is your □ Yes □ No
current business?
Brands you are
currently representing:
Regions/Provinces you
are selling:
Currently you are: □ Distributor □ Sub-distributor
Currently you are: □Buying from local distributor/manufacturer
□Directly importing from other countries? □USA □Europe □China □Japan
□Korea □Others
Customers types (tick): □MOH/Government □NGO’s □National Hospital □Regional Hospital
□Clinics □Laboratory □Pharmacy □Other: .

Annual Sales Amount: Number of Sales People

Annual Sales Amount Annual Purchase Amount


for Rapid Test for Rapid Test
Hot Season of Sales:
Frequency of Ordering: □ Once a Week, □Once a Month □Once a Quarter □Other

Which Products would


you like to represent
from us?

Estimated Purchase Amount Estimated Purchase Amount of


of 1st year 2nd year
Hangzhou Alltest Biotech Co., Ltd.
550# YinHai road, Hangzhou Economic & Technological Development Area,Hangzhou, Zhejiang, P.R.China 310018
www.alltests.com.cn

Do you need samples?


How long do you need for
sample evaluation?
Estimated amount of
When to order after sample
the 1st order after
approval?
sample approval?

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