Esteemed Clientele
 
 
 

Application Form

 

Fill in the following details to apply for Asia Pacific Reseller Partner Program

 
Company Details

Company Name

Street Address

City

State

Zip

Country

Phone

Fax

Website (Optional)

Principals

Contact Person

Title

Phone

Ext. (if any)

Email

Business

Type of Business

Company Brief

   
Financials

Total Annual Sales

% services

% software

% hardware

Other Details

Total number of employees

Number of employees dedicated to sales

Number of employees dedicated to technical support

How many years your company has been in business

List all other Software / Automation hardware / software your company markets

List any related technology your company currently markets

Please provide us with two references, either vendors or customers, whom we can contact
(Company name, relationship to your organization, contact name, phone #) (Optional)

What are the products that interest you the most?

Additional Comments (Optional)

 
 
 

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