New Vendor Application
Company Name:
Fax:
Names of Current Distributors:
What is your marketing launch budget for this product with Tech Data?:
Number of U.S. Inside Sales Reps:
What is your marketing budget for this Year?:
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
Type of business entity:
Total Company Past Year Annual Revenue:
Estimated Average Distributor Margin:
How were you referred to Tech Data?:
Stock Symbol¸ if public:
Percentage of sales to End Users:
If yes¸ please provide name:
Number of Resellers:
Is this a reseller specific request?:
Percentage of sales to Resellers:
Country:
Channel Products Current Year Projected Revenue:
Channel Products Past Year Annual Revenue:
Specify Countries:
Will you be transitioning resellers to Tech Data?:
Desired Relationship:
Title:
Is this a Cloud / ESD product? (e.g. SaaS / IaaS / BaaS / PaaS / License / Activation Key / Subscription):
Last Name:
Types of Indirect Customer / Channels sold into (check all that apply): Direct Marketer VAR/Solution Provider Corporate Resellers Service Providers / Telcos Retail Other
Legal Company Name:
Mobile Phone:
Physical Address:
First Name:
Main Applicable Territory:
Total Company Current Year Projected Revenue:
Top 3 Competitors:
State / Province:
Number of U.S. Channel Resources:
Key competitive advantages:
Number of U.S. Technicians / SEs:
Do you offer a tiered rebate program?:
Number of Current Distributors:
Targeted Reseller Market Segments:
Total number of units shipped annually:
Number of employees:
Percentage of sales to Distributors:
State of incorporation:
If yes¸ how may: