| GENERAL INFORMATION |
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General contact information |
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Company Name |
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Parent Company/
Franchise of |
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Number of offices |
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Street Address |
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City |
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State/Province |
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Zip/Postal Code |
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Country |
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Phone |
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Extension |
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Fax |
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Email |
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URL |
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| Whom should we contact in the following positions?
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| Principal Business Contact |
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Name |
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Title |
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Email |
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Phone |
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| Principal Technical Contact |
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Name |
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Title |
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Email |
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Phone |
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| What is your state
resale certificate and permit number? |
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State |
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Certificate # |
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| COMPANY BACKGROUND |
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When was your business founded? (Month/Year) |
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How would you describe your business? |
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What is your estimated annual revenue? |
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What size company do you usually sell to? |
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EXPECTED SALES |
Indicate the percentage of sales expected for each platform:
(should total 100%) |
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Windows 95/98/NT/2000 (x86) |
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Macintosh |
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Windows NT/2000 (Alpha) |
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Linux (x86) |
Distribution:
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Linux (Alpha) |
Distribution:
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BSDI (x86) |
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FreeBSD (x86) |
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Sun Solaris (SPARC) |
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Sun Solaris (x86) |
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SCO (x86) |
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Compaq TruUnix (Alpha) |
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Unix on MIPS |
Describe:
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Other |
Describe:
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What quantity of each Maximized Software product do you expect to sell per year?
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FlashStats |
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Color Browser |
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Christmas Browser |
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Thank you for your interest in the Maximized Software MaxPartner Reseller Program. Please re-read your application carefully. Please also read the
MaxPartner program description. By submitting this application, you acknowledge
that the information which you have presented is accurate and that you have read, understood and agree to be bound
by the terms of the MaxPartner Reseller Agreement. |
Please indicate whether you accept the terms of the MaxPartner Reseller Agreement:
I accept the terms of the MaxPartner Program Agreement |
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| SUBMIT APPLICATION |
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