Reseller Application Form

Thank you for your interest in the One Touch Global Technologies Reseller Program. Please complete the information below and one of our channel representatives will contact you shortly.

* Required Form Fields

First Name: *
Last Name: *
E-mail: *
Title: *
Organization: *
Address: *
City: *

State/Province: *
Zip code/Postal Code: *
Phone: *
Fax:

What industries do you service? *

What is the primary business of your organization? *


How many people are in your organization? *

What is the annual revenue of your organization? *

How long has your organization been in business? *

Which of the following brands does your organization most commonly offer? *
Canon
Fujitsu
Hewlett Packard
Kodak
Konica Minolta
Lexmark
Okidata
Ricoh
Sharp
Xerox
Other

Which of the current software imaging packages does your organization most commonly offer? *
Ascent Capture
Cardiff TeleForm
Captaris
Datacap
Doculex
Digitechs System
DocuWare
Esker Deliveryware
Laserfiche
FileBound
GFI FaxMaker
Other

What are the top factors evaluated in product selection decisions? *

On which geographic area do you concentrate your sale efforts? *

Does your organization offer Service Agreements?* If so, please explain

How did you hear about the TargetFax Reseller Program? *

Please provide any other necessary information in the space below.



Questions? Please call 1 (800) 233-3619
 
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