Distributorship of Radico Lifecare

Radico Lifecare, a rising star among Indian generic pharmaceutical companies, is promoted by Radico Remedies having 30 yrs experience in pharma market. Please use this form to apply for distribution of Radico Lifecare's pharma generic products.

All fields are compulsory (download distributor form in word format)

Subject

1. Name of the company *

Consitution *

Address *

Name of the owner *

Status *

Mobile no. *

Email id. *

2. Name of Responsible Person *

Mobile no. *

Enter your email: *

3. D.L. no. *

CST / TIN no. *

4. Area Covered *

No of Stockist *

No of Retailers *

No. of Doctors *

No of Nursing Homes *

No. of field staff *

5. Name of the companies dealt (separate with commas) *

6. Software used *

7. Sales Target *

8. Advance cheque details *

9. Transport preferred *

Captcha *

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Radico Lifecare wishes you all success in life as distributor of Radico Lifecare - a star among Indian generic pharmaceutical companies.