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“Dora Technology welcomes opportunities for partnerships in the sales, marketing and support of its product range in different countries. If you are interested in becoming our partner in your territory, please kindly fill in this form: “
 
Do you have a headoffice? Yes No
Do you have other branches ? Yes No
If yes, do you want to introduce other offices in partnership also ? Yes No
Do you have services / contacts with banks ? Yes No
Do you have services / contacts with public institutions Yes No
Do you have services / contacts with health institutions Yes No
Remarks / notes
COMPANY  
Company name
Adress
 
Tel
Web
Number of employees
Establishment date
 
CONTACT PERSON
Name
Tel
E-mail
Department
Position