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