Download the Reseller Application Form and Credit Application Form in Word97 Format

Company Information

Company Name
Address (Line 1)
Address (Line 2)
City
State and Zip Code
Phone Number
Fax Number
Web Site Address
Contact Name
Contact's Position
in Company
E-mail Address
(Required)
Computer Sales
Experience
Experience with NoteBook Computer Sales
Experience with Desktop Computer Sales
Reseller's
Certificate Number
Company
Information
(Optional if you
have a web site)

Sales History


Dates Brand Name / Model Volume Territory
1.
2.
3.
4.
5.

Please make certain that your e-mail address has been entered correctly!
A correct e-mail address is necessary for us to respond to your application.

Be sure to complete a Credit Application form, and fax it to us at (510) 608-8829.

 

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