If you are interested in becoming a member of the Essen partner program as a Value Added Reseller, simply complete this Request Information form and submit it to our team for review.

PERSONAL DETAILS
Title
Firstname*
Lastname*
Company*
Job Title*
Address1*
Address2
Address3
City*
State*  Zip*
Country*
Telephone*
Fax
Email*
Website URL
    
 
 
  BUSINESS PROFILE
 
What best describes your company's primary business?
      
 
Other business activities, if any(please select all that apply)
 
     Computer Store  Value added reseller  Web/Cable
     Software Store  Office products reseller  Systems house
     Custom software  Educational dealer  Consultant
     Other ( please specify )  
 
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?
      
 
Are your sales achieved partly/fully through online sales?
      Yes  No     If yes,what percentage? 
 
 
 MARKET PROFILE
 
Approximate percentage of source of sales ( must total 100% )
      Corporate    Retail    SOHO    VARs    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
 
Which marketing vehicles do you currently use?
       Direct Mail   Print   Web   Trade Shows   Other
 
 
 VENDOR INFORMATION
 
List other hardware/software brands, if any, for which you are
currently an authorized reseller?
    1. 
    2. 
    3. 
 
 
 
     I confirm that all the above information given to Essen is correct.
 
 I am interested in becoming a member of Essen partner program.
     Please send me details of the Reseller schemes that you provide,
     at the above mail address.
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