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IHSE USA Reseller Application
IHSEusa Reseller Application

REPRESENTATIVE INFORMATION
Are you currently working with an IHSEusa representative?
If yes, who:
COMPANY INFORMATION
Company
Headquarters Street Address
Location
City   State/Province   Zip or Postal Code
  
Country 
Phone/Fax
Phone   Fax
 
Website
Resale Tax ID (US Applicants only)
Federal Tax ID (US Applicants only)

PRIMARY CONTACT INFORMATION

 

Application Submitted By:

 

Name

 

Title
Email

Phone

 

 

Sales Contact:

 

Name

 

Title
Email

Phone

 

 

Technical Contact:
(Pre-Sales)

 

Name

 

Title
Email

Phone

 

 

Marketing Contact:

 

Name

 

Title
Email

Phone

 

 

Purchasing Contact:

 

Name

 

Title
Email

Phone

 

 

Support Contact:
(Post-Sales)

 

Name

 

Title
Email

Phone

 

BUSINESS INFORMATION
Number of Years in Business                        
Number of Employees
Inside Sales Outside Sales   Technical Personnel  
Annual Sales
(in U.S. Dollars)
Breakdown of Revenue Hardware %
Software %
Service %
Focus of Business Commercial %
Federal Government %
State/Local Government %
Market Segments Business & Corporate % Digital Signage %
Government % Media/Entertainment %
Education % Telecommunications %
Healthcare % Finance %
Worship/Religious Institutions % Other % include listing below
     
Does your company sell locally, regionally or nationally? List the geographic areas you serve.
MARKETING INFORMATION
Annual IHSEusa Purchases
(estimated, in US Dollars)
IHSEusa Product Interests CATx DVI KVM Extenders DVI KVM Fiber Extenders
DVI KVM Matrix Switching Video Converters
Accessories
Do you agree to add the IHSEusa logo/website link to your website within 30 days from the date approved as reseller?
List the other manufacturers' KVM and Audio/Video products you sell.
List Partner Relationships (include vendor, program name, program level).
List your company's distributor relationships:
List Technical Certifications (include level and number of certified staff)
SUPPORT INFORMATION
Does your company have a call management system for technical support?
Does your company have a service lab?
Does your company provide onsite customer support?