Dealership Enquiry


We thank you for your interest in becoming a distributor of Pantech Solutions. Please provide the following information. We value your time to respond to this form. You will be contacted as soon as we complete to process your request.

Fields marked * are compulsory.

Company Name *
Year Established *
Address *
City *   Pin code  *
State *
Name of CEO *
Phone - *
Mobile *
Email *
Name of Marketing Head *
Branches (if any)
Present Activities *
Region of Operation *
Please provide details of products handled
Product Line Manufacturer / Make Handled Since
Please list your main principals
List name (s) of the cities which you intend to cover as a stockist
Please provide any other information you deem necessary to influence our decision
Region of Operation *
Enter Captcha Code