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Multi-Tech Logo: Your link to Telephony, Internet Appliance, External Device Networking, and Embedded Device Networking products. 'Connecting' Logo: Voice over IP and Fax over IP Solutions
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Optimum Reseller Application

Thank you for your interest in becoming a Multi-Tech Systems Optimum Reseller. Simply fill out the following on-line application, or download the corresponding PDF file and print it, fill it out, and mail or fax it to us.

Company Information

Company

DBA

Address

City

State/Province

ZIP/Postal Code

Country

Main Phone

Toll-free

Fax

Web Address

Sales Contact

Title

Email

Marketing Contact

Title

Email

Technical Contact

Title

Email
Business & Marketing Profile
Year Established: Gross Annual Sales: $
Number of Locations:
Number of Employees:
1) Which of the following best describes your business?
Retail Systems Integrator Mail Order Consultant
VAR ISP Online Reseller Other
2) Have you sold Multi-Tech products before?
Yes No
3) Which of the following best describes your major product focus?
Voice Communication Data Communication Service/Maintenance
Other
Distributor Relationships
Please name the distributor(s) from which you'd like to purchase Multi-Tech products, along with your customer number:
Distributor Account Number
Reseller’s Tax Exemption Verification
I, the purchaser, hereby claim exemption from the payment of state sales or use tax on the purchase of tangible personal property consisting of data communication hardware and accessories from Multi-Tech for the purpose of resale or demonstration of resale product. I understand that it is a criminal offense to give an exemption certificate to the seller for taxable items that I know, at the time of purchase, will be used in a manner other than that expressed in this certificate.

Federal ID # / Social Security # / GST#

Certificate of Registration Number (if any)

Date of Registration

Expiration Date (if any)
Type of Business: Sole Proprietorship Partnership Corporation
Telephony Authorized Optimum Reseller Agreement
U.S. and Canadian Resellers Only
Only Telephony Authorized Optimum Resellers may sell MultiVOIP®, FaxFinder®, CallFinder®, and SMSFinder™ solutions. This agreement verifies that you have attended a Multi-Tech Telephony solutions roadshow or webinar sales and technical training course, or have been trained via your own self-training program. With this training, and by completing this agreement, you certify that you have the knowledge and ability to sell, as well as, provide on-site installation and support of Multi-Tech Telephony solutions. In addition, you agree not to advertise Multi-Tech Telephony products on the Internet for anything less than MAP* (Minimum Advertised Price) or MSRP. Failure to adhere to this agreement will immediately exclude you from selling Multi-Tech Telephony products.
* Call your Multi-Tech sales representative for MAP pricing.
I would like to be Telephony Authorized: Yes No

Qualified Training Completed:
Webinar
Self-Trained
Other (describe)
Signature
The statements provided in this application and in the attached documents are true and complete to the best of my knowledge. I also understand that information submitted in this application will be treated discreetly by Multi-Tech and that my providing inaccurate and/or false information may be grounds for Multi-Tech to terminate any future business arrangements.

Name

Title
Referred by Multi-Tech Sales Rep:
Multi-Tech Systems reserves the right to decline or remove a reseller from the program at its own discretion.
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  Copyright © 1995-2008 by Multi-Tech Systems, Inc.  All rights reserved.
  This document was last modified on: 27 October 2006 8:46:04 AM
  Mounds View, MN - U.S.A.