Reseller Application Form

Business Name*
First
Address*
Address City Post Code
Website
What area of IT is your company’s primary focus?*
How many years have you been providing IT Support Services?*
How many technical staff do you have?*
How many business support (non-technical) staff do you have?*
Which of the following product are you most interested in selling?*
- Backup
- Cloud Hosting (VPS)
- Colocation
- SIP / VoIP
What are your proposed sales for the above in the next 12 months?
Backup*
Cloud Hosting (VPS)*
Colocation*
SIP / VoIP*
How do you envisage achieving those sales?*
Other than the above what other products would you most like to resell*
Please provide details your company website(s) and any other marketing material*
Contacts
Please add details of contacts for each department within your company, (even if covered by the same person)

Owner / Sales Manager
Name*
First
Email*
Phone*
Accounts
Name*
First
Email*
Phone*
Main Technical
Name*
First
Email*
Phone*
Technical
Name*
First
Email*
Phone*
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