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 Promo code#: 
  Reseller Info
Name:
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  Sales Contact
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  Marketing Contact
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What is the radius that you will do installations?
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  Company Info
 Years in Business:
Number of System Engineers:
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Number of Inside Sales Employees:
Total Annual Revenue:
Average Quarterly Networking Hardware Revenue:
Competitive Brands Carried (Please check all that apply):
Netgear HP Buffalo
Linksys 3Com    
Cisco Belkin    
 Target Customer Markets (Please check all that apply):
Consumer/Home Office Medium Business (100-250 Employees)
Very Small Business (1-19 Employees) Medium Business (251-999 Employees)
Small Business (20-99 Employees) Large Business (1000+ Employees)
Do you have any Vertical Market specialties? (Please check all that apply)
Federal Government Telecommunications Manufacturing
State/Local Government Entertainment/Publishing Insurance/Legal
Higher Education Financial Services Retail
Lower Education Healthcare Other
Contruction/Real Estate Hospitality If other, please describe:
Which D-Link product families are you interested in re-selling?
Smart and Unmanaged Switches
  IP Cameras
Managed Switches Voice & IP Communications
Wireless Home Networking Gaming
Wireless Business LAN Power over Ethernet
Routers
 
NAS
 
SAN  
  Primary D-Link Distribution Suppliers
Primary Distributor:
Rep Phone: Ext: Acc#:
Second Distributor: Rep Phone: Ext: Acc#:
Third Distributor: Rep Phone: Ext: Acc#:
  Terms
  • I will contact all D-Link Leads within 48 hours of receipt.
  • I will support D-Link's efforts in my marketplace.
  • I agree to the above terms and conditions
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