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