a Revolution In Unified Communications

    MessageNet systems, Inc.
  Dealer Application Form
 

    Legal Company Name: (required information)

   

Company Name  

   

Business Address

   

City State   Zip  

   

Phone Fax  

   

Email

   

Date Started # of Employees  

 

    Type of Business: (optional information)

   

 Limited/Incorporated Company

   

 Sole Proprietor

   

 Partnership

   

 Other, please describe:
     

 

    Questionnaire: (optional information)

   

Give a brief description of your business focus.
     

   

What is your primary product focus or what products do you currently distribute?
     

   

What is your market focus or what is your primary “customer type” market?
     

   

Do you actively sell your products or respond to bid requests?
     

   

Are you usually a general contractor on a project or secondary?
     

   

Do you target specific territorial or geographical regions? If so, please explain.
     

   

How many sales of the MessageNet products do you anticipate annually?
     

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