SolutionsSoftwareTechnologyQ & ALibraryWhere To BuyValue ChainCompany
ESSEN RFID India
Reseller Application Form*All fields required
Personal Details
* Title
* First Name
* Last Name
* Address
* City
* State
* Zip
* Country
* Company
* Job Title
Country Code   Area code     Telephone No.
* Telephone    
Fax    
* Date of Birth
* Email
* Password
* Re-type Password
Website URL
Business Profile
What best describes your company's ownership category?
What is the number of employees in your company?
What are your company's approximate gross annual sales?
Provide a brief company history
(not more than
characters)
List key products (include company names) and services that your market. Not involved with RFID. Please be specific about your capabilities
(not more than
characters)
Market Profile
Approximate percentage of source of sales ( must total 100% )
  Corporate        
  Retail                
  Logistics            
  Manufacturing  
  Other                
Which of the market areas does your company target its sales? (please select all that apply)
    Manufacturing     Finance/Banking                Department Stores/Malls
    Education           Information Technology     Speciality Stores
    Government        Trader/Distributors            Other
List key markets or industries that you serve
(not more than
characters)
Vendor Information
List other hardware/software brands, if any, for which you are currently an authorized reseller?
   



Additional Information
In addition to the Reseller's name in Personal Details, please list other contact persons in your organization, if any, giving their full names, job titles and email addresses.
 
NameJob Title Email
 
 
 
Please Provide Credit reference ?
(not more than
characters)
What three major trade publications do you subscribe to ?
(not more than
characters)
What trade associations are you a member of ?
(not more than
characters)
      I confirm that all the above information given to Essen is correct and I have no objection if
             Essen independently verifies the above veracity through external agencies.
      I have read,understood and agree to the License Agreement and Privacy Policy.
VAR License Agreement
Privacy Policy . Terms of Use . Legal Disclaimer . Safe Harbor Provision . Site Map
© Essen 2015. All rights reserved