Agency Opportunity Application Form

Agency Opportunity Application Form

 

Ref: TESO

 

Thank you for your interest in this opportunity.

Please let us have some information about you and your agency business. Although we have details of your operation on our files, we accept that your situation can change, or that you might like to tailor the information you provide to match the requirements of the opportunity.

 

Please note the following:

  • What you write here is ALL that our clients will see, so please be specific.
  • Our client is looking for agents with a specific profile in terms of their customer types and territories. So if any of your answers are vague (such as "Anything" or "Everyone" or "Anywhere") then we may be unable to match your profile to our client's requirement.
  • Please do not cut and paste sections of the advert into your application.
  • Please present yourself as professionally and favourably as possible: remember this is a SELLING DOCUMENT in which you are promoting yourself to a person or organisation with whom you hope to form a long term trust relationship.
  • Your application should be clear and truthful and above all answering all the questions fully.
  • Please note that for us to process your request successfully there are several fields that MUST be completed. We cannot process enquiries that do not have the required information.

You will receive an email to confirm that your application has been received. If your application is successful you will be contacted by the client directly. If you are not selected, unfortunately we are not able to inform you, and we are not able to enter into further discussions or correspondence after that point.

 

PRIVACY GUARANTEE: Please be assured that the information you provide below will remain strictly confidential to AgentBase and the client concerned.

 

* = required information

Your Name: *
Postal Address: *
Tel: *
Mobile:
Email Address: *

A copy of your completed form will be emailed to you.
Your CUSTOMERS / MARKETS: *
Please select the Customer Types that you presently call on from the list below.

Architects
Surveyors
Interior Designers
  Jewellers
Bakers
Butchers
  Kitchen Specialists
Booksellers   Leather
Travel Goods
Builders Merchants
Decorators Merchants
Building Contractors
  Legal: Solicitors and Barristers
Camping
Outdoor Leisure
Fishing / Equine
  Leisure Centres
Gyms
Health Clubs
Cash & Carry
Wholesale
Distributors
  Local Government Authorities
Chemists
Pharmacy
Drug
  Mail Order
Clothing
Fashion
Textile
  Marine Chandlers

Computer Suppliers

  Motor Accessories
Cook Shops   Music
TV
Publishing
Media
Corporates
Offices
  New Age Retail
Confectioners
Tobacconists
Newsagents
  Nursing
Residential Homes
Dentists
Doctors
Vets
  Off Licences
Wine Merchants
Direct Selling (Householders)   Pet Retail
Pet Wholesale
Discount
Pound Shops
  Photographic
Camera
DIY
Hardware
Ironmongery
  Post Offices
Drapers
Haberdashers
  Printing & Graphics
Electrical Goods
Lighting
Electronics
Telecom
  Private Training
Educational
Engineers
Consulting Engineers
  Pubs
Clubs
Estate Agents   Restaurants
Caterers
Hotels
Cafes
Snack Bars
Fabrics
Linens
Soft Furnishings
  Schools
Colleges
Universities
Education Authorities
Factories
Engineering
Manufacturing
Industrial
  Security
Footwear   Sports Goods
Sportswear
Furniture
Upholstery
  Stationers
Garages
Motor Repairs
Car Sales
  Supermarkets
Multiples
Garden Centres
Florists
Horticulture
  Timber Industry
Gift
China
Glass
Cards
Department Stores
  Toys
Novelties
Hobbies
Golf Clubs   Visitor Centres
Tourist Attractions
Grocers
Convenience Stores
Petrol Stations
Delicatessens
  Logistics
H.M. Forces   Arts
Crafts
Galleries
Hairdressers
Beauty & Tanning Salons
  Financial Services

Health Food Stores

  Opticians
Hospitals   Childcare
Nurseries
Playschools
Housewares
Homestores
  Internet
Web

Further details about your CUSTOMERS / MARKETS:
If the above market categories do not match your customer types exactly, or if you need to be any more specific, then please tell us about it here.
Please note that YOUR customers / markets must match the CLIENT'S target markets as detailed in the advert. If this is not the case then we cannot forward your application: our client is only looking for agents in the markets stated in the advert.


Your EXISTING AGENCIES: *
Tell us about the products and/or services that you are currently selling, and who your principals are.
If you are new agent please just state that.


Your AREA: *
Please give details of the geographical area that you cover, or are prepared to cover, using the map below. Please note these are our standard regions.They may not match your area of operation exactly. Select as many as is necessary. If your areas are any more specific than this please tell us about it in the next section.

Please note that YOUR areas must match the target areas detailed in the ADVERT. If this is not the case then we cannot process your application: our client is only looking for agents in the areas stated in the advert.


Scotland
Northern Ireland
Republic of Ireland
North
North East
North West
(inc. N. Wales)
South West
(inc. S. Wales)
South East
(inc. London)
South Midlands
East Midlands
West Midlands
(inc. Mid Wales)
East
South
All UK

 

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Further details about your AREA
If the above regions do not match your area of operation exactly, or if you need to be any more specific, please tell us about it here.
Please note that YOUR areas must match the target areas detailed in the ADVERT. If this is not the case then we cannot process your application: our client is only looking for agents in the areas stated in the advert.
Further details about YOU
Use this section if you would like to give us any more information in support of your application. For instance a some background about yourself or your business, experience, skills, contacts, etc.
Please be careful not to include any personal information that might identify you.
 * -
Please select one of the following to describe you: *
 
For your records, a copy of this completed form will be emailed to the email address given above.
Please ensure all details are correct, then press Submit.