Reseller Registration Form
Become An AVTECH Software Reseller

Sell the world's most popular
IT Environment Monitoring Solutions.

To sign-up as a reseller and receive information about reselling, please complete the form below:

Contact Information  (required)

Organization:
Address 1:
Address 2:
City:
State / Province:
Zip / Postal Code:
Country:
 
Phone:
Website:
Fax:

Primary Contact

Name: Title:
Email: Phone:

Secondary Contact

Name: Title:
Email: Phone:



Business Information

Desired Relationship:    Reseller    OEM    Consultant / Contractor    Other
       If Other, please explain:

Ownership:    Privately Held       Publicly Traded       Other
       If Other, please explain:

Employees:   
# Total Employees # Inside Sales
# Outside Sales # Support Technicians

Annual Sales (in U.S. Dollars):   
 < $2 Million              $2-5 Million              $5-10 Million
 $10-25 Million              > $25 Million              

Revenue Breakdown:   
% Hardware % Software % Installation
% Consulting % Training % Other

Customer Focus:   
% Commercial % Federal Government % State/Local Government
% Education % Other

Please list where you are most focused on selling. Does your organization sell locally, regionally, nationally or internationally?  



Product Information

List vendors of products that your organization sells (i.e. Cisco, Nortel, EMC, HP, IBM, etc.):


List primary vendors whose products make up the greatest percentage of sales revenue for your organization:  

Does your organization manufacture any hardware and/or software products? If so, please list or describe:





Thank You!