Reseller/Distributor Application Form
Contact Information
Title
Mr
Mrs
Ms
Dr
Contact Name:
*
Company:
Address:
*
City, State, Zip:
*
Country:
*
E-mail:
*
Phone:
*
Fax:
*
Website:
Available manpower for selling Odin's product line
Number of Technical staff people?
Number of Marketing staff people?
How do you intend to sell Odin's product line? (check all that apply)
Referral
Ad Campaigns
Online
Other
How do you categorize your company? (check all that apply)
OEM
VAR
ISP
End User
Consultant
Distributor
System Integrator
Retailer
If you are a VAR or OEM, how would you use Odin products?
Annual sales
Enter current annual sales for your company:
$
USD
Enter number of Odin boards that you expect to sell per year:
Stocking Odin products
Is your intention to stock Odin products?
Yes
No
If your intention is to stock Odin products, please enter your anticipated stock level?
$
USD
Comments about stocking Odin products:
List top two Supplier Relationships:
Supplier #1
Supplier #2
Product #1
Product #2
Product #3
Product #1
Product #2
Product #3
Percentage of Annual sales %
Percentage of Annual sales %
Affiliates
Are you an affiliate or do you have any affiliates?
Yes
No
If yes, please list names:
Current Markets Represented (check all that apply)
T1/E1 Testing equipment
Protocol Analyzers
PBX
Call Centers
Unified Messaging
Conferencing
Enterprise Equipment
Gateways
SS7
Network Infrastructure
Logging, Monitoring, and Recording
Voice Portals
Media Servers
Internet Telephony
ISDN
DSP Applications
Enhanced Services
Integrator
Other
Current Market Development Activities (check all that apply)
Literature
Seminars
Tradeshows
Lead Generation
Direct Mail
Web Promotion
Telemarketing
Training
Advertising
Others
Odin Synergy Alliance Partner program
Would you be interested in being a part of Odin Synergy Alliance Partner program
Yes
No
If no, please state the reason
*
indicates information that is required.