New Vendor Application
Company Name:
Percentage of sales to Distributors:
Stock Symbol¸ if public:
Zip:
Title:
Number of employees:
State of incorporation:
City:
Percentage of sales to End Users:
Do you offer a tiered rebate program?:
Specify Countries:
If yes¸ please provide name:
Country:
Email:
Estimated Average Distributor Margin:
Number of U.S. Field Sales Reps:
Channel Products Past Year Annual Revenue:
Targeted Reseller Market Segments:
Percentage of sales to Resellers:
Total Company Past Year Annual Revenue:
Number of U.S. Technicians / SEs: