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AGRA CO-OPERATIVE Ltd. Inquiries - Finding New Business Partners                                                       Nature of potential co-operation with AGRA   Our company is interested in:     SUPPLYING products to the AGRA Distribution Centre   DISTRIBUTING (parts of) the AGRA product range     Product range     Animal Health   Building Material   Clothing & Shoes Feed/ Licks/ Concentrates   Fertilizer/ Seed/ Protection Hardware & Tools   Household Leather & Horse Equipment   Spare Parts Tractors & Agricultural Machinery   Water Equipment Other (please specify below)   Please list product(s) & brand name(s) in detail :     Distribution details     SUPPLIER information:   DISTRIBUTOR information:     Will AGRA be the sole distributor of the above listed products? Will the products listed above be the sole stock-in-trade?   yes no yes no     If not, name company(ies) also distributing the product(s):   If not, please list other product(s) to be distributed:       Further comments   Please state further particulars, special conditions,amounts etc. here:     Contact details     Company:   Trading name (if different from Co. name):       POSTAL ADDRESS:   PHYSICAL ADDRESS:   P.O. Box: Street & number:     City & code: City & code:     Country: Country:       Name of contact person:   Cell:     Tel: E-mail address:     Fax: URL:         Thank you for your interest. We will attend to your inquiry as soon as possible.

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