VAR/Reseller Sign-Up

FactoryView Solution Provider
Authorized Reseller Program
Profile & Application Form

 

IMPORTANT: Please read the agreement before applying.
All fields with an * need to be filled out. View our Privacy Policy.


General Company Information:

Company Name*:
Address*:
Address2:
Town/City*:
State*:
ZIP*:
Country*:
if other, please specify:
Fax:
Web Site:
Tax I.D. Number:
Other Office Locations:
Regions Supported:
Years in Business:
Number of Employees:
Annual Sales:

Primary Contacts:

Principal Business Contact
First Name*:
Last Name*:
Title*:
Telephone*:
Email*:
Other Business Contact
First Name:
Last Name:
Title:
Telephone:
Email:
Principal Technical Contact
First Name:
Last Name:
Title:
Telephone:
Email:
Other Technical Contact
First Name:
Last Name:
Title:
Telephone:
Email:

Company Profile:

Which best describes your business?

Value Added Reseller
Consultant
Distributor
System Integrator
OEM
Other (please specify):

What level of support do you provide end users?

Full turnkey installation
Consulting
System Specification
System Integration & Development
Hardware/Software Installation
Training/Documentation
Post Sales Support
Full Service
Other (please specify):

What are your value added functions?


Do you write software applications?

Yes  
If yes, please describe:

Do you resell any application packages?

Yes  
If yes, please describe:

Market Concentration: (check all that apply)

Manufacturing
Aerospace
Textiles/Apparel
Government
Transportation
Military
Health Care
Automotive
Retail
Electronics
Food Products
Wholesale Trade
Pharmaceuticals
Other (please specify):

Data Collection Applications Provided: (check all that apply)

Asset/Lot Tracking
Shipping/Receiving
Quality
Warehousing
Document Tracking
Work-in-Process
Point-of-Sale
Time & Attendance
Weighing/Counting
Inventory Control
Other (please specify):

Data Acquisition Applications Provided: (check all that apply)

Product Test
Measurement
Process Monitoring
Quality Control
Process Control
RS232/422/485
GPIB (IEEE-488)
Other (please specify):

Comments:



Submission indicates acceptance of VAR Agreement terms.

Please note: you must include the following documents along with the VAR application to expedite processing:


CREDIT_AP.pdf

Credit Application

72 kB

UNISALES.PDF

Sales Tax Excemption Certificate (if located in AZ, CA, MN or NC)

184 kB

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