KEYTEC reseller application


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Resellers Wanted
We are looking for Domestic and International Resellers. If you are interested in selling KEYTEC'S Magic Touch products, please apply now! We will get back to you as soon as we have received your application. .
Partner Wanted: If you are a developer or system integrator, you may be qualified of becoming one of our strategic partners. Whether your expertise is kiosk, point of sales, handheld device, or anything that is related to touch screen application, please tell us about yourself in the "Remarks" section. We can team up to provide more products and services to the market.	Product Video is available for promotion. Request a DVD copy. See us at our next EVENT.
Fields with an asterisk ( ) are required!*

Step1: Please enter your Company Contact information.

First Name:

Last Name:

Title:

Company Name:

Address:

City:

State/Province:

Zip/Postal Code:

Country:

Direct Telephone:

Cell Phone:

Fax:

Direct Email:

Step 2: Please enter your Company's Internet Presence Profile.

What is your WWW address?

Approximately how many hits do you get on your web site per week?

Step 3: Please enter your Company's Business Profile.

President/Owner's Name:

Business Form:

Sole Proprietor Partnership Corporation

What year was the company founded?

What is your primary business?

Other

Last year's revenues:

From which market segment does the majority of your revenue come?

Other

Number of employees:

Number of sales:

How many sales offices do you have?

Number of technical personnel:

Number of administrative personnel:

Market territory:

Market applications:

List of main products currently carried:
Product Name	Manufacturer	Since (year)

Remarks:

Which Products are you interested in selling? (check all that apply) *

Add-On Touch Screen Kit
Integrated Touch Screen Monitors
Built-In Touch Screen Kit

OPTIR Touch - Resizable IR Touch Screen
Large-Size Touch Screen
View Touch
Membrane & Rubber Keypads

How did you hear about us?

Web Search Engine
Surfing the Net
Web Banner
Magazine
Print ad
Brochure
Trade Show
Word of mouth
School
Other

Step 4: Submit Application.