Overview
Counting Devices
Card Counters
Consumables
for Card Printing
Reseller
Technical
Support
Contact
Us
Links
Reseller Application
If you would like to know more about becoming a MICTOM partner, we ask that you complete a Reseller Application. Your answers on this form will help us to provide you with the most appropriate information.
Application Form
Company Information
Company
Name
Title
Address 1
Address 2
City
ZIP / Postal Code
Phone
Fax
E-mail
Business Profile
Years in business
Number of locations
Number of employees
Appr. gross annual sales
Marketing Methods
Retail store
Direct sales
System integrator
Mail order
What other counters do you currently market?
What other related products do you sell?
What territories do you cover?
Which markets do you cover?
Comments
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applied engineering Ltd. & Co. KG - all rights reserved