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:
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Gross Annual Sales: $
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Number of Locations:
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Number of Employees:
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1) Which of the following best describes your business?
Retail
Systems Integrator
Mail Order
Consultant
VAR
ISP
Online Reseller
Other
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2) Have you sold Multi-Tech products before?
Yes
No
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3) Which of the following best describes your major product focus?
Voice Communication
Data Communication
Service/Maintenance
Other
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| 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 |
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| 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
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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.
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| I would like to be Telephony Authorized:
Yes
No
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Qualified Training Completed:
Webinar
Self-Trained
Other (describe)
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| 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.
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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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