Valid8.com - Reseller Application

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VALID8.COM RESELLER APPLICATION FORM

*Fill out,* Print, Sign and Fax back to: +1-781-207-0550 Please complete as much detail as possible. Omissions may delay your application.


General Company Information

1.	Name of the Company
2.	Address
3.	Phone Number
4.	Fax Number
5.	Contact Person & Position
6.	Contact Email Address
7.	Web Site

8.	Tax ID Number
9.	Date of foundation of the company
10.	Number of employees

11.	Description of company's main activity
12.	Sales Volume for 2005
	% of it for Telecom Test Tools in 2005
13.	Sales Volume in 2006
	% of it for Telecom Test Tools in 2006
14.	Expected Sales Volume in 2007
	% of it for Telecom Test Tools expected in 2007

15.	Customer references
Geographical Information

16.	In which countries is the applicant company reselling?
17.	In which regions of the country are you mostly/exclusively active?
Product Range

18.	Please describe your product portfolio
19.	Do you have competing products to Valid8's or do you follow strictly a strategy of a complementary portfolio?	Yes No

20.	Which products in your portfolio compete with Valid8?
21.	What is your company policy regarding competing products? How do you choose one over the other during the sales process?
22.	Do you focus on a particular area of technology?	Yes No
	If yes, please detail
Reselling Valid8 Products

23.	How did you hear about Valid8?
24.	Which Valid8 solutions are you interested in?
25.	Why do you want to be a Valid8 distributor?
26.	Which structure will you use to resell Valid8's solutions?
27.	What is your expected revenue from Valid8 products over the next 12 months?
28.	What sort of marketing & sales support would you initially require from Valid8?
29.	Do you have any immediate sales opportunities? If yes, what are the technical requirements? Customer's budget? Timeframe?
30.	Additional Comments
31.	Date -------------------------------------------------------- Signature ------------------------------------------------------


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