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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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