Become a Dealer

Dealer Application

Full Name(Required)

First Last

Mobile Number(Required)

Email ID(Required)

City / Location(Required)

State(Required)

Pin Code(Required)

Nature of Current Business(Required)

Initial Investment Capacity(Required)

Name

This field is for validation purposes and should be left unchanged.

Looking to fast track your on-boarding process? Download the form and mail it to:

salescdr1@fujiyamaev.com