Reseller Application
Company Name: *
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Website:
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Type of Store: *
Type of Business: *
How Many Locations (if brick and mortar store):
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First and Last Name: *
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Phone Number: *
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Contact Email: *
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Country: *
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Billing Address: *
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Years in Business:
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How Many Sales Representatives Do You Currently Have:
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What Products do you currently sell? Do you sell any products similar to Teknikio?
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Which markets and customers do you sell to?
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How did you hear about Teknikio?
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