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Channel Partner Application
Company Name: *
DBA
Address: *
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Date Established:
No. of Employees:
Annual Sales:
Company Type
ADDITIONAL OFFICE:
 
Address:
City:
State:
Zip Code :
Phone:
Fax:
 
Address:
City:
State:
Zip Code :
Phone:
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COMPANY CONTACT :
 
PURCHASING MANAGER
 
Name:
email:
Phone, ext. :
MSN ID (if any) :
SALES MANAGER
 
Name:
email:
Phone, ext. :
MSN ID (if any) :
NETWORKING PRODUCT MANAGER
 
Name:
email:
Phone, ext. :
MSN ID (if any) :
WHICH BRANDS OF CONNECTIVITY PRODUCTS YOU SELL?
 
CompanyName:
Average Monthly Sales:
CompanyName:
Average Monthly Sales:
CompanyName:
Average Monthly Sales:
CompanyName:
Average Monthly Sales:

 

Advantek Networks, Inc. 2526 Qume Dr. Unit #23 San Jose, CA 95131 T (408) 392 0768 F (408) 392 0769
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