New Vendor Application
Company Name:
Desired Relationship:
What is your marketing budget for this Year?:
If yes¸ please provide name:
Types of vertical markets sold into (check all that apply): Healthcare Financial SMB Government Education Enterprise Transporation Other
Total Company Past Year Annual Revenue:
Is this a Cloud / ESD product? (e.g. SaaS / IaaS / BaaS / PaaS / License / Activation Key / Subscription):
Links to Resources (Presentations¸ Product Information¸ Additional Information):
Fiscal Year-end (month)?:
Average product price to distributor:
Main Applicable Territory:
Do you offer a tiered rebate program?:
Is this a reseller specific request?:
Targeted Reseller Market Segments:
Specify Countries:
What is your marketing launch budget for this product with Tech Data?:
Brief description of product / services:
Names of Current Distributors:
Title:
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
Channel Products Past Year Annual Revenue:
Percentage of sales to End Users:
If yes¸ how may:
First Name:
Will you be transitioning resellers to Tech Data?:
Percentage of sales to Resellers:
Number of employees:
Top 3 Competitors:
Type of business entity:
Legal Company Name:
Physical Address:
Country:
State / Province:
Zip:
City:
State of incorporation:
Key competitive advantages:
How were you referred to Tech Data?:
Estimated Average Distributor Margin:
Types of Indirect Customer / Channels sold into (check all that apply): Direct Marketer VAR/Solution Provider Corporate Resellers Service Providers / Telcos Retail Other
Stock Symbol¸ if public: