Note: Questions 1 - 7 below do not need to be answered if you selected Distributor, Vendor, Consultant, Media or Other as your general business type. 1. Which category best describes your company's primary business?
*Reseller Category Type:
Select One...
Custom System/Solution Builder
Direct Marketer/Ecomerce
ISV
Network Integrator
Service and Support Company
Software Developer
Solution Provider
System Integrator
VAR
2. What % of your annual revenue is derived from the following
services?
Consulting:
Select One...
10% or less
25% or less
33% or less
50% or less
75% or less
100% or less
Monitoring:
Select One...
10% or less
25% or less
33% or less
50% or less
75% or less
100% or less
Hardware Sales:
Select One...
10% or less
25% or less
33% or less
50% or less
75% or less
100% or less
Security:
Select One...
10% or less
25% or less
33% or less
50% or less
75% or less
100% or less
Networking:
Select One...
10% or less
25% or less
33% or less
50% or less
75% or less
100% or less
Storage:
Select One...
10% or less
25% or less
33% or less
50% or less
75% or less
100% or less
Servers:
Select One...
10% or less
25% or less
33% or less
50% or less
75% or less
100% or less
3. What % of your annual revenue is derived from the following
customer types?
4. How many Desktop PC's does your company sell each month? (Last 6 Months Average)
PC's Sold (pick the most applicable):
0 or N/A
1 to 50
51 to 100
101 to 500
501 to 1000
1000+
5. How many portable, notebook or mobile PC's does your company sell each
month? (Last 6 Months Average)
Notebooks or Portables Sold:
0 or N/A
1 to 50
51 to 100
101 to 500
501 to 1000
1000+
6. How many servers does your company sell each
month? (Last 6 Months Average)
Servers Sold:
0 or N/A
1 to 50
51 to 100
101 to 500
501 to 1000
1000+
7. Which company are your primary and secondary
IT product distributors?
(Last 6 Months Average)
Primary IT Products Distributor:
Select One...
ASI
Bell Microproducts
D and H
Douglas Stewart
Ingram Micro
MaLabs
NacsCorp
SED International
SuperCom
Synnex
Tech Data
Secondary IT Products Distributor:
Select One...
ASI
Bell Microproducts
D and H
Douglas Stewart
Ingram Micro
MaLabs
NacsCorp
SED International
SuperCom
Synnex
Tech Data
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By submission of this Application, I certify that all statements contained in this
Application are accurate and complete to the best of my knowledge. Should any information
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for my company.
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(NASBA Privacy
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