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DISTRIBUTION CHANNELS

At J. ALTIUS HEALTHCARE we understand that "Progress needs Partners". If you are a Distributor / C & F / Stockist / Wholesaler / Retailer; join us & become partners in our distribution channel.

Please fill up the following form if you are interested in linking with us.


DISTRIBUTION FORM

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Who are you?
Company Name
Name of Concerned Person
Postal Address
Phone No.
Fax
No. Of Salesman
Area Covered & Frequent Visits
Drug Lic. No.
CST/ ST/ Tax Regd. No.
Monthly Turnover
Banker's Name
Area Applied For
Email
Other Inquiry
   
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