Granting sales representatives of refractory bricks

Amiran Nama Brick Representation Application Form

To receive the real / legal representation of Amiran Nema Refractory Brick Company, download and complete the relevant form, then send it to us using the form below.

Download Amiran Nama Brick Representation FormDownload Amiran Nama Brick Representation Form

Representation

first name and last name*
Mobile*
Phone*
fax
City*
Collection name
Address*
Postal code
Business Type*
- the store
- Warehouse
- office
- designing office
- Marketer
Shop area*
Shop property*
Warehouse area*
Warehouse property*
Sales history (years)*
Brick sales history (year)*
Do you have a license?*
Which of our products are you interested in?
What companies and factories do you have a history of cooperation and representation in the field of bricks and non-bricks ?*