ELKARIS SPEED SOLUTION

DISTRIBUTOR/AGENT REGISTRATION FORM

 

   All Fields Marked With Asteric (*) Are Required

      
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DISCLAIMER

This Agents Application/Registration form ('The Form') is and remains the property of Elkaris Nigeria Limited. Our Company accepts no liability for the dissemination of information provided on this form, or the consequences of any action taken on the basis of the information provided.

Prospective Agents should note that any information provided on the form shall be subjected to further rigorous checks and the result of which may lead to the withdrawal of Agents rights previously conferred upon the initial background check.

Please be informed that the completion of The Form does not create a contractual obligation on either party.

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