Ruhango District,
Kinazi Road

+250 724 797 703

Distributor Application Form

Company Information

Company Background

Distribution Capacity

Legal and Regulatory

Sales Volume


Please provide any additional information you think is relevant to support your application: Agreement
By signing below, you confirm that the information provided is accurate and complete to the best of your knowledge. You also agree to abide by the terms and conditions outlined in the Distributor Agreement

Distributor Agreement Terms

[A copy of the Distributor Agreement will be provided upon successful completion and review of this application. The agreement will cover aspects such as pricing, payment terms, territorial rights, product quality, and marketing support.]

Please submit the completed form along with any required supporting documents to [] for review and consideration.