Reseller Enquiry Form

If you are looking to be an Extech distributor or reseller, plese fill out our online reseller form to have a representative contact you. All required fields are marked with an asterisk (*).

Company Information
Contact Name:	*
Title/Occupation:
Company:	*
Years in Business:
No. of Employees:
Address:	*
City:	*
State/Province:	*
Zip:	*
Country:	*
Phone:	*
Fax:
E-Mail:	*
Website:	*

Please Check Your Company Function*

Distributor (Company with full-time sales and support staff. No programming personnel)
Value-Added Reseller/System Integrator (Company with full-time sales, support and programming personnel)

Please Check the Main Brands You Support/Distribute
Casio Honeywell (HHP) Motorola (Symbol) Psion Teklogix Datalogic HP/Compaq Nordic ID Unitech	Fujitsu Intermec O'Neil Zebra GT/Itronix Metrologic PSC Other:

Please Check the Operating Systems Supported
CE CE.Net CE.Net.CF	EPOS Palm OS PocketPC	Symbian Windows. Version(s): Other:

Please Check the Vertical Markets Supported
Field Service Hospitality Utilities	Retail Warehouse Pharmaceutical	Direct Store Delivery Transportation-People Other:

Do You Distribute Outside Your Country?

No
Yes If Yes, Which Countries:

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