Registration

We are pleased that you have expressed an interest in becoming a Dynamsoft Partner. Completing this application to become an Authorized Dynamsoft Partner is the first step toward an exciting opportunity. All information will be held in strict confidence and is used solely for the purpose of evaluation. Call us at 1-877-605-5491 if you have any questions.

Contact Information


Company*
Address*

City*		Province or State
Country*		Postal or Zip Code*
Website

Primary Contact


First		Last
Title		E-mail*
Phone		Fax

Accounting Contact


First		Last
Title		E-mail
Phone		Fax

Purchasing Contact


First		Last
Title		E-mail
Phone		Fax

Marketing Contact


First		Last
Title		E-mail
Phone		Fax

Company Information


Business Type	Corporation	Partnership	Proprietor
Years in Business
Number of Employees
Annual Sales (last year)	(in US$)
Annual Sales (this year)	(in US$ - projected)

How would you classify your company? (check all that apply)

Physical Retailer	Online Retailer	Distributor
OEM	Consultant	Education
VAR	Systems Integrator	Chain
Other (please specify):

What geographical area does your organization serve?

Local (50 mile)	National
Regional	International

Which distributors do you typically purchase from?

How do you sell to your customs? (Check all that apply)
Physical Store	Online Store	Mail/Phone Order

Marketing Plans

What type of marketing activity does your company engage in? (Check all that apply)

Print Advertising	Online Advertising	Direct Mail
Catalogs	Newsletters	Trade Shows
Parties & Events	Telemarketing
Other (Please specify):

List any vertical markets that you serve:

In which publications or online sites do you advertise your products and services?

List of top 6 products carried:

1		4
2		5
3		6

Please provide a list of any products you sell that might compete with Dynamsoft:

Please provide a description of any value-added services that your company offers (i.e. training, workshops, seminars, trade shows, consulting, etc.):

Comments

Comments and Additional Information

Feel free to include with your application any ideas or plans that you might have to promote and sell Dynamsoft Products.

Note

1. Please click here to read the Dynamsoft Partner Agreement.
2. You will receive an email with your account to sign in within 48 hours if your registration is approved by Dynamsoft.
3. Contact our Partner Manager if you have problems submitting this form.

Submit Application

	Name*
	Title

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