Elementool Resellers Portal — Marketing Tools

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Contact Information

Company Name*

Phone #*

Fax #

Your Name*

Title*

Address*

City*

State*

ZIP Code*

Website*

Email*

Accounting Contact

Accounting Phone

Purchasing Contact

Purchasing Phone

Marketing Contact

Marketing Phone

Company Classification

Years in Business*

Business Type*

Which Distributor(s) do you purchase from:

Ingram Micro	Navarre
GE Access	Tech Data	Other

Please provide one distributor account #:
(used to verify reseller status)

Name

Number

How would you classify your company?
(check all that apply)

Reseller	VAR	Sys Integrator	Consultant	OEM	Developer
Chain	Training	Franchise	Distributor	Mail Order	E-Commerce
Instructional

Select vertical markets
(check all that apply)

Government	Automotive	High-Tech	Education	Security	Health Care
Chemical	Construction	Fortune 500	Insurance	Travel	Accounting
Development	Library	Real Estate	Instructional	Publishing	Food services
Entertainment	Advertising	Training	Other

Prior year annual revenue*

Projected revenue this year*

Percentage of revenue*
(totals 97%)

Hardware

Software

Services

What geographical area do you serve:

Local (50 mile)

State wide

Regional

National

International

Total # of employees*

# Inside sales

# Outside sales

# Engineers

Which types of marketing activities you engage in
(check all that apply)

Seminars

Newsletters

Trade Shows

Direct Response

Print Ads

Relationships, Certifications

Please list other vendors

Description of primary value added

Other products do you sell that are similar ours

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