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Reseller opportunities
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Related topics

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Reseller application

Please provide the information requested below. Completion of this application form is required for consideration as a ChekScan reseller.

CONTACT INFORMATION
name
title
company name
address
address (cont.)
city
state/province
zip/postal code
country
phone
cell phone
email address
website address
   
  BUSINESS CONTEXT INFORMATION
please describe briefly the nature of your business
primary SIC code
yellow pages / business directory category
years in business
number of employees
your target market
other markets served
geographic sales area
document scanner hardware you currently sell
imaging software you currently sell
how ChekScan fits with product offerings
would ChekScan be offered with other imaging products? how would that work?
how did you find out about ChekScan?

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