Partner_apply

Distributor Application Form

Company Profile(*required)

PROFILE

Company Name*

Contact Name*

Address* City*

State/Province Country* ZIP/Postal Code*

Telephone*

Fax*

E-mail*

Web site

Business Profile*

Organization Type Sole Proprietorship Partnership Corporation

Business Classification Detail Storefront Distributor Consultant Other

How many years and months is your company in business? (yy/mm)

How many locations does your company have?

What are your annual sales? (In US Dollar)

$0 to $100,000                 $100,001 to $0.5 million
$0.5 million to $1 million    $1 million to $10 million
$10 million to $50million    $50 million or more

How many employees do you have? Sales Service

How many PC's do you sell each month? PC's Units

How many software packages do you sell each month? Units

Do you assemble your own systems? Yes No

Do you service your products? Yes No

Do you provide networking solution? Yes No

I hereby certify that the submitted information is true and complete to the best of my knowledge.

Signature
Date 2008/11/22 下午 01:54:20

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