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:: Reseller Partner Program Customer Profile Program | Private Labeling | V Brand | Warranty | Enrollment  
       
Please fill out the simple questionnaire below so we may serve you better.
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Company Name:
First Name:
Last Name:
Title:
Address:
City:
State:
Postal Code:
Phone:
Fax:
Email Address:
Website:
 
TELL US ABOUT YOUR COMPANY
   
Years in Business:
 
Type of Business:     Business Focus:
 Corporation
 Partnership
 Proprietorship
 LLC
 Other
    VAR
    Retailer
    Distributor
    Distributor
    Computer Dealer
    Other
   
Program Memberships:     Annual Revenue:
 Intel® Dealer
 Intel® Premier Partner
 Microsoft® Partner
 Microsoft®Gold
         Certified Partner
 Other
     Under $100k
    $100k-$500k
    $500k-$1 Mil
    $1 Mil-$5 Mil
    $5 Mil-$10 Mil
    Over 10 Mil
   
Percentage of revenue from server, notebook & workstation sales:
0-25%
25-50%
50-75%
75-100%
 
   
Annual quantity of notebooks sold:
 
Annual quantity of servers sold:
 
Annual quantity of workstations sold:
 
List manufacturer(s) of server, notebook and workstation hardware you currently sell: (separate names with a comma)
 
Product line types you currently sell: (check all that apply)
 Servers
 Storage
 Notebooks
 Workstations
 Digital Signage Systems
 Software & Peripherals
 Parts & Supplies
 Printers, Inks & Toners
 
Services currently provided to your customers: (separate names with a comma; i.e., "network integration services", etc.)
 
Target Markets: (check all that apply)
SMB
 Retail
 Federal Government
 Local & State         Government
 Enterprise Corporate
 K12, College &         University
  
   
List all "contracts" that you are authorized to sell from:
(i.e., "GSA", etc.)
 
Current selling method(s): (Click all that apply)
 Direct Sales
 Tele-Sales
 Internet
 Storefront
 
Total number of employees in your sales force:
Do you provide on-site warranty repair for hardware?
No
Yes
   
Number of full-time technicians employed:
Certifications held by full-time technicians: (separate items with a comma)
Thank you.
 
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