NEC TECHNOLOGIES
INTERNET BUSINESS UNIT

IBU RESELLER ENROLLMENT APPLICATION

Please complete this application to join the Internet Business Unit as an enrolled VAR

Corporate Background

Company Name:

Company Headquarters Address:

  
City: State: Zip:

  
Phone: Fax: Email:

Branch Location Address:

  
City: State: Zip:

President/CEO Name:

Primary Vendor Contact/Title:

  
Phone: Fax: Email:

Networking Sales Mgr Name: Email:

Year Business Started: Last Fiscal Year Revenues($)


Personnel
(Number of Employees)

Total Sales: Networking Sales: Technical Support:


Product Offerings
Please list the actual names of the products in the following classifications that you resell routinely:

Firewalls:

Routers/Bridges/Access Servers:

Hubs:

Network Interface Cards:

TCP/IP Related Products:

Internet Expertise:

Network Operating Systems:

Other:


   
Internet Business Unit * NEC Technologies, Inc. * 110 Rio Robles Drive * San Jose * CA * 95134
Fax (408) 433-1230

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