PART #
KEYWORD
SUN
IBM
CISCO
HP/COMPAQ
LEASE OR RENT
BUY - ASSET REMARKETING
& DISPOSAL
QUICK QUOTE
ISO CERTIFIED
SPECIALS
Reseller Application
Contact Information
Salutation:
Mr.
Ms.
Mrs.
Dr.
Title:
First Name:
Last Name:
Direct Phone Number:
Email Address:
Company Information
Company Name:
Address (1):
Address (2):
City:
State/Province:
Postal/Zip Code:
Country:
Company Phone Number:
Website URL:
Reseller Application
Please select the type of partnership that you envision having with Justyn Tyme Solutions:
Reseller
(I plan to resell Justyn Tyme Solutions products to my end-user customers)
Consultant
(I would like to be able to recommend Justyn products to my customers but
do not plan to sell it to them directly)
Distributor
(I will represent and sell Justyn Tyme Solution products only to resellers, not to end-user customers)
Please indicate the reason that you have decided to apply to be a Justyn Tyme Solutions partner at this time:
I have an interest in offering Justyn Tyme Solutions products to my customers in the future, but
do not have an immediate or active sales opportunity identified
I have identified and am currently working with a customer for
an immediate Justyn Tyme Solutions sales opportunity.
Which of the following categories best describes your Company (check all that apply)?
VAR - Value Added Reseller
(Sell products and integrated services to your customers)
Applications / Systems Integrator
(incorporate several vendors’ products or services into an integrated solution, beyond
what any one vendor’s solution could provide alone)
National Reseller
(Sell to end-user customers nationally)
Regional / Local Reseller
(Sell to end-user customers in a region or city, but generally not nationally)
Hardware / Software Retailer
(sell hardware and/or software products at retail)
National Distributor
(Sell to Resellers nationally)
Regional Distributor
(Sell to Resellers regionally but not nationally)
Consultant
(Identify and recommend solutions to customers, but generally do not sell the solution)
Other
If Other please indicate how you would best describe your company:
Business Profile
What services does your Company provide (check all that apply)?
Distributor - Hardware/Software Sales
Consulting Services
Systems Integration
Implementation Services
Your Company’s approximate annual revenue:
Total number of employees in your Company:
Does your Company currently sell, Justyn Tyme Solutions products,
or has it sold them in the past?
Yes
No
Does your Company sell Memory Modules and ?
Yes
No
If Yes, which ones?
If you have any additional information you would like to provide, please enter it here:
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