If you are interested in becoming HYDROXPERT’s products/Services reseller, please fill in the following form and submit your application. You will be contacted by HYDROXPERT representative.
1. Company Information:
Company Name*:
Address:
City:
Zip/Postal Code:
Country:
Phone Number:
Fax:
Website:
2. Contact Persons:
Main Contact Name*: Email*:
CEO/Manager Name: Email:
Tech. Support Name: Email:
3. Your Business Locations:
Main Office Location*:
Other Office Locations:
New locations of Interest:
4. Your Sales Volume:
Previous Year Total Sales:
This Year Sales Projection:
5. Work Force:
Total Nr. Employees:
Nr. of Sales Agent:
Nr. Technical Support Staff:
6. Your Key Business Lines
Distribution
Consulting
Training
System Integration
Development
Others - Please tell us:
7. Your Key Fields of Interest:
Engineering
Environment
Energy
ITC
Construction
8. In Which Product (Service) Are You Interested In ?
SIMAHPP5 - Learn about SIMAHPP5
SIMAHPP4 - Learn about SIMAHPP4
WaterSys - Learn about WaterSys
VINMOD - Learn about VINMOD
9. Partnership Value
Please tell us why the Product(s) and/or Service(s) you have selected above interests you and what added values your company can bring to HYDROXPERT by becoming HYDROXPERT's products & services partner as compared to other Resellers/Distributors:
10. Applicant Name and Contact
Your Name*:
Your Email*:
Your Phone*:
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