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To be Authorized Distributors
1. Company Detail
Full Company Name
Country
Business Address
Phone Number
Fax Number
Website
2. Contact Windows
Primary Contact Name
Job Function and Title
Phone Number
E-Mail Address
3. Business Model
Value Added Reseller (VAR) Distributor
System Integrator OEM/ODM
Tech Service and Consultant Manufacturer
Exporter/ Importer  
Others (please describe)
4. Sales Territory
Local National
Regional International
Describe the sales coverage:
5. Target Market Applications
Data Center Inter/Intranet
CAD/CAM Telecommunication
Audio/Video Scientific Imaging and computing
Cloud Surveillance
Educational Services  
Others (please describe):
6. Employees Number
5-20 20-50
50-100 100-500
>500  
7. How many years have your company been in business?
8. What are the brands does your company carry? (storage related product and others)
Your application will be reviewed by Accusys. You will then be contacted by a
Accusys Channel Manager to finalize your application.

Thank you