Request a representativeadmin2019-09-04T11:11:13+03:30 first name and last name*National Code*Id*father's name*State*City*Phone Number*work AddressBrands you currently collaborate with* Brand Name Product Type Duration of activity Shop AreaType of Ownershipthe ownerLeasedPanel nameType of Activity Wholesaler Retail seller financial information Bank name Account number کد امنیتی