Application to become an appointed Agent/Reseller

Company Name: ABN:
Director/Your Name:
Delivery Address:
Invoice Address:
Email Address:
Would you like to receive monthly updates through email?
Telephone: day -    night -    mobile -   
What are your main selling media (direct sales to clubs, through coaching, through the net or any others?):
Please List TWO club locations that you are currently attending to:
Club 1:
Club 2:
Have you had experience in selling badminton products? If yes, what are the brands and products have you been dealing with?