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Wordtext Systems, Inc.
Value-Added Distributor
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RESELLER’S PAGE
Application Form
New Reseller Application Form
(For Philippine Applicants Only)
Kindly enter your information in the fields below.
User Account
Login Name:
*
Password:
*
Repeat password:
Hint Question
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Hint Answer
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Reseller Information
First Name
*
Last Name
*
Company:
*
Date Established:
Jan
Feb
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Address:
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Position:
Designation:
Telephone Number
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Fax Number
Mobile Number:
Email Address:
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Type of Organization:
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Corporation
Single Proprietorship
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Pls. specify:
List of Owners:
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Branches:
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Software:
Adobe
Altiris
Autodesk
Borland
Business Objects
Citrix
Corel
DB2
McAfee
Microsoft
Network Appliance, Inc.
Novell
Rational
Symantec
ThinPrint
Tivoli
WebSphere
Hardware:
Alcatel-Lucent
Allied Telesis
HP
HTC
IBM Hardware
InfoPrint Solutions Company
Kodak EasyShare Digital Cameras
Microsoft Hardware
Phoenix
Proxim
RSA Security
Sony
Star Micronics
Sun Microsystems
Swiss Travel Products
TRENDnet
*
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