New Vendor Application
Company Name:
Number of Resellers:
Number of U.S. Field Sales Reps:
Number of Current Distributors:
Number of U.S. Technicians / SEs:
Total number of units shipped annually:
Targeted Reseller Market Segments:
State / Province:
Title:
Type of business entity:
Mobile Phone:
If yes¸ please provide name:
Average product price to distributor:
Types of Indirect Customer / Channels sold into (check all that apply): Direct Marketer VAR/Solution Provider Corporate Resellers Service Providers / Telcos Retail Other
Physical Address:
Last Name:
Brief description of product / services:
Is this a reseller specific request?:
What is your marketing budget for this Year?:
Website URL:
Fax:
Total Company Past Year Annual Revenue:
Channel Products Current Year Projected Revenue:
Year Established:
First Name:
How were you referred to Tech Data?:
Salutation:
Number of employees:
Estimated Average Distributor Margin:
Names of Current Distributors:
Number of U.S. Inside Sales Reps:
Select the categories which best describe your products (check all that apply): 3D Printing / Scanning AIDC / POS AR / VR Commercial / Enterprise Software Cabling Cloud Components Consumer Electronics Consumer Software Document Management Drones Gaming Home Automation / Smart Products IoT Mobility Networking Presentations Printers and Office Products Printer Consumables Security Services and Training Storage - Components Storage - Enterprise / Network Storage - Peripheral / Accessory Supplies and Accessories Systems Other
Percentage of sales to Distributors:
Average Product MSRP:
Main Applicable Territory:
Links to Resources (Presentations¸ Product Information¸ Additional Information):
State of incorporation:
Types of vertical markets sold into (check all that apply): Healthcare Financial SMB Government Education Enterprise Transporation Other
Desired Relationship:
Key competitive advantages:
City:
If yes¸ how may:
Percentage of sales to Resellers:
Is this a Cloud / ESD product? (e.g. SaaS / IaaS / BaaS / PaaS / License / Activation Key / Subscription):