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Business Partner Application - Reseller

Please fill out the form below as completely as possible:

Business Information

Business Name:
Address 1:
Address 2:
City:
State/Providence:
Zip Code:
Country:
Phone Number:
Fax Number:
Website Address:
Number of Employees:
Number of Employees Dedicated to Selling PTS Products:

Primary Contact Details
First Name:
Last Name:
Address 1:
Address 2:
City:
State/Providence:
Zip Code:
Country:
Phone Number:
Fax Number:
E-mail Address:

Marketing and Sales Details
Please briefly describe your current product mix:
Annual Sales:
% Software Sales:
% Hardware Sales:

Please list your top four target markets:
1:
% of Sales:
2:
% of Sales:
3:
% of Sales:
4:
% of Sales:

Please list the top two sales channels: (ex. sales reps., internet )
1:
% of Sales:
2:
% of Sales:

Geographic Focus:

Please list the geographic regions the company currently supports:

Marketing Plan:
Please briefly describe the marketing plan that will be used to sell PTS products:
Estimated Yearly PTS License Sales:
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Sales: 877-640-4152 ext. 2
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