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Title
 
First Name
 
Last Name
*
Email :
 
 
Company Information :
 
Company name:
Address :
City :
 
State /Providence:
other
 
Zip /Postal Code:
 
Phone :
 
Fax :
 
URL :
 
 
Company Profile Information:
 
Number of years your company has been in business
Estimated annual sales revenue
Total number of sales reps
Total number of employees
Monthly averagevolume of systems
 
What are your top three vendors /resellers and their percentage of your business?
 
Vendor % of business
Vendor % of business
Vendor % of business
 
 
What are your areas of distribution?
 
Delhi & NCR
Haryana
UP East
Uttranchal
others(type multiple enteries with commas in between)
 
 
Which of the following best describes of your business?
 
System Builder
VAR
Retailer
Distributor
Direct Sales
 
  Other
 
 
Who are your primary target customers?
 
Resellers / VARs
End Users
Large Business
Medium to Small Business
Govt. and Education
Retailers
Other   
 
 
 
Any comments?
 
   

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