Vendor Application

Company Information

*Company:

Website URL:

Address 1

Address 2

Address 3

Country

State/Province

City

Zip/Postal

Type of business entitiy:

How were you referred to us?:

*Number of employees:

*Year Established:

*Total Annual Revenue:

*Annual Revenue (Channel Products):

*Projected rev. this year (All Products):

*Proj. rev. this year (Channel Products):

Contact Information

Salutation:

*Full Name:

Title:

*Email:

*Phone:

Fax:

Mobile Phone:

Channel Information

Percentage of sales to End Users:

*Percentage of sales to Resellers:

*Percentage of sales to Distributors:

Number of Resellers:

Number of Channel Resources:

Number of Field Sales Reps:

Number of Inside Sales Reps:

Number of Technicians/SEs:

Current Distributors:

Total number of units shipped annually (units sold and returns):

Product Information

*Select the Sub-Categories which best describe your products:

*Brief description of product/services:

*Average Product MSRP: $

Average product price to distributor: $

Average Distributor Margin:

Reseller Certification Required:

Reseller Certification Offered:

Reseller Authorization required:

Reseller Authorization Offered:

Customer Information

Types of Indirect Customer/Channels sold into:

Types of vertical markets sold into

Key Technical/Business Partners:

List your key resellers/customers:

Competitors:

Key competitive advantages:

Marketing Information

*What is your marketing budget for this Year? $

Demand Generation:

Targeted Reseller Market Segments: