RETAILERS & DISTRIBUTORS

Please fill out the following qualification form:

• Required Information  
• First Name:
•Last Name:
•Job Title:
•Company Name:
•Corporate Address 1:
Corporate Address 2:
•Postal Code:
•City:
•State/Province/County:
•Country:
•Telephone:
•Fax:
•E-mail:
Company URL:
 
•Store Brands:
•Type of Retailer:
(Hold down the Ctrl key to
make multiple selections.)
Type of Retailer, if Other:
Number of Stores:
(If applicable)
•Countries of Operations:
(Hold down the Ctrl key to
make multiple selections.)
•Annual Revenue:
(Euros/USD)
•Annual Sales of PCs:
(Units)
•Business Summary:
Invitation Priority Code: