Reseller Application Form

Company:

Address 1:
(Please do not use a PO Box address)

Address 2:

City:

State:

Province:

Zip Code:

Country:

Telephone:

Fax:

Email:

Website URL:

Sales Contact Name:

Sales Contact Email:

Support Contact Name:

Support Contact Email:

Is the location/company you listed a satellite office or division?

Yes: No:

Year Company Was Founded:

What currency do you use for your annual sales figures?

USD: Euro: Other:

What are your company's annual sales?

What is your company's primary business?

How many employees does your company have?

How many employees are there in your sales department?:

Which FleetSoft products are you interested in selling?

Truck Tracker Fleet Maintenance Software
Truck Tracker GPS

Does your company sell or have knowledge of MS-SQL server?

Yes: No:

Please check which vendors your company has certifications with:

Why do you choose to become a Truck Tracker reseller?

* - These fields are required.