| *First Name |
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| *Last Name |
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| *Company Name |
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| *Address 1 |
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| Address 2 |
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| *City |
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| *State/Province/Region |
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| *Postal Code |
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| *Country |
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| Federal Tax ID # |
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| *Telephone |
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| Fax |
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| *Email |
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*How many major metropolitan
areas do you currently support? |
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Please enter the number of major metropolitan areas you currently support. |
| *Which ones |
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Please indicate which major metropolitan areas you currently support. |
| *Number of sales people at your company? |
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Please enter the number of sales people at your company. |
| *Number of support people at your company? |
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Please enter the number of support people at your company. |
| *Years in Business |
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Please enter the number of years your company has been in business. |
| *Last years sales revenue |
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Please enter your last year's sales revenue. |
| *Please list distributors you currently buy from |
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Please list the distributors you currently buy from. |
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| *Describe the vertical market you primarily
sell to, the services you provide, and what type of businesses you focus your sales effort to |
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Please describe the vertical market you primarily sell to. |
| What other brands/types of networking products do you sell? |
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| *What trade shows do you attend or exhibit at? |
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Please list the trade shows you attend or exhibit at. |
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| What are the top 3 trade
publications you read? |
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| What websites do you visit for industry information? |
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| Validation: Please enter the results of the following below: 6 + 5 = ? |
| * Results: |
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| * Required Fields - please see our privacy statement |
