Distributorship Application Form - Heritage FMCG Limited

1) Business / Trading Name

Email interested Social

2) Registered Company Name (if different)

3) Business Registration Number (if applicable)

4) Country of Operation

5) State / Province / Region

6) City / Town

7) Business Address

Website (if any)

Social Media Handles (if any)

10) Contact Person (CP)'s Full Name

11) CP's Job Title / Role

12) CP's Phone Number (include country code)

13) CP's Email Address

14) Type of Business (select all that apply)

14b) If other (please specify)

15) Years in Operation

16) Primary Markets Served

17) Current FMCG Brands Distributed (if any)

18) Proposed Distribution Territory

19) Distributorship Type Applying For

20) Estimated Monthly Sales Capacity (dozens)

21) Expected First Order Quantity (dozens)

22) Storage & Logistics Capability

Own warehouse
Third-party warehouse
Direct-to-retail delivery
Cross-border shipping capability

23) How do you intend to market G-Flakes?

24) Why are you interested in distributing Heritage FMCG products?

25) Experience with Importation & Customs Clearance (Overseas Applicants Only)

25b) If yes, describe your experience (Overseas Applicants Only)

26) Can you handle shipping, duties, and local taxes? (Overseas Applicants Only)

27) Regulatory Awareness (Consent)

Yes

I understand Heritage products are subject to food safety and regulatory requirements in my territory.

28) Business Conduct (Consent)

Yes

I confirm the information provided is accurate and my business complies with applicable laws.

Declaration

Yes

By submitting, you agree to be contacted… subject to due diligence.
If applying for exclusive distribution you will be required to provide a copy of your ID, or if in the name of a registered Company a copy of your company registration.