Reseller Information
		Networking Authorized Reseller Application (print the this page, complete and FAX to 562-802-9605)
		Company Name ______________________________________ Address ____________________________________________ City ______________________ State ____ ZIP _____________ Company Type____ Corporation ____ Sole Proprietorship Phone ________________________ FAX __________________ Owner/Principal _______________________________________ Sales Manager ___________________________ Ext. _______ # Sales ___________ # Technical ___________ # CNE ___________ # MCSE ___________ Years in Business _____ Gross Sales ___________________ Hardware Sales __________________ % LAN hardware _________________ Current Authorizations (Novell/MS etc.) __________________ Main Vertical Markets _________________________________ ___________________________________________________
		If you need further assistance, contact david_cavin@maxtech.com
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