|
Server : Apache/2.4.62 System : FreeBSD fbsdweb2.web.rcn.net 14.1-RELEASE FreeBSD 14.1-RELEASE releng/14.1-n267679-10e31f0946d8 GENERIC amd64 User : www ( 80) PHP Version : 8.3.8 Disable Function : NONE Directory : /domains/hightechweb/ |
Upload File : |
<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<meta name="Author" content="Douglas Pepper Lang">
<meta name="GENERATOR" content="Mozilla/4.73 [en]C-{C-UDP; EBM-SONY1} (Win95; U) [Netscape]">
</head>
<body text="#000000" bgcolor="#FFFFFF" link="#0000EE" vlink="#551A8B" alink="#FF0000">
<center><b><font size=+2>HIGH TECHNOLOGY INTERNATIONAL</font></b>
<p>P.O. BOX 53151 WASHINGTON, DC 20009 USA
<p>Telephone:(202)785-8924 or 800-TECHNOW
<br>Fax:(202)478-0690 or 888-866-4842
<p>Email: <a href="mailto:[email protected]">[email protected]</a></center>
<p>
<hr WIDTH="100%">
<center>
<p><b><u><font color="#0000A0"><font size=+2>DEALER APPLICATION FORM</font></font></u></b></center>
<br><b><u><font color="#0000A0"><font size=+2></font></font></u></b>
<p><br>
<p><font color="#0000FF">Current Business Enterprise:_____________________________</font>
<p><font color="#0000FF">Authorized Dealerships (secured under your current
operation?) ________________________________ (use addt'l sheet, if necessary)</font>
<p><font color="#0000FF">Intended start-up date:_____________</font>
<p><font color="#0000FF">Relationship Requested:Reseller ($1-3,000)______Agent
($3-5,000) _____ Dealer ($5-25,000)_______ {<sub>secured by inventory for
display or sale</sub>}</font>
<p><font color="#0000FF"># Staff:_____Location___________ Territory Requested_______________</font>
<p><font color="#0000FF">Unique Market Niche Targeted:______________________________</font>
<p><font color="#0000FF">Knowledge of Advertising/Marketing?______(y/n)
Assistance Desired_____</font>
<p><font color="#0000FF">Personal Background Specialties (Computer, Telephone,
Security..)_______</font>
<p><font color="#0000FF">___________________________________________________________</font>
<p>
<hr WIDTH="100%">
<p><font color="#8000FF">IT'S ALL ABOUT YOU:</font>
<p>Name:______________________________Company:______________________
<p>Address:____________________Billing (if different)__________________
<p>City:___________________State:________Country____________
<p>Contact Number:________________Fax:_____________
<p>Authorized Signature__________________________Date_______
<p>
<hr WIDTH="100%">
<p><b><font color="#8000FF">CHECK BOXES BELOW FOR SERVICES YOU INTEND TO
OFFER:</font></b>
<p><font color="#0000A0">TELEPHONE</font>: Repair ____ Move ____ Install
___ (Home___Office____)
<p><font color="#0000A0">CELLULAR</font>: Activation____Car Move_____Debit
Card____
<p><font color="#0000A0">SATELLITE PHONE</font>: Debit Card_____Activation______
<p><font color="#0000A0">TELECOM SERVICES</font>:Number ID_____Special
Ring____Conference____ Voice Dial___Call Forward/Remote_____ISDN_____VoIP____
<p><font color="#0000A0">ALARM MONITORING</font>: ______
<p><font color="#0000A0">INTERNET ACCESS</font>: 24-hour Dial-up (PPP)____56k___128k
(ISDN)____
<p><b><font color="#8000FF">PROFESSIONAL SERVICES</font></b>
<p><font color="#0000A0">LOCAL AREA NETWORKING</font>: _________<font color="#0000A0">DOCUMENT
SCANNING</font>: _____
<p><font color="#0000A0">CD MASTERING</font>: _______<font color="#0000A0">DESKTOP/WEB
PUBLISHING</font>:______
<p>
<hr WIDTH="100%">
<p><font color="#0000A0">BUSINESS SYSTEM REPAIR</font><font color="#000000">:________</font><font color="#0000A0">EXT.
WARRANTY PLANS</font>:______
<p><font color="#8080FF">SYSTEM REPAIR INCLUDES: CCTV, ALARM, TELEPHONE,
VOICEMAIL, PAYPHONE, POS, COMPUTER NETWORKS, ACCESS CONTROL, BUILDING ENTRY,
REGISTERS, FAX</font>
<p>
<hr WIDTH="100%">
<p><b><font color="#8000FF">LONG DISTANCE TELEPHONE SERVICE</font></b>
<p>SRVC OUTBOUND: Home____Office____Cellular____(costs vary from $.10-.15
per minute)
<p>INBOUND: "800/888"#_______"900"# Audiotex_______
<p>PAY TELEPHONE ALTERNATE OPERATOR SERVICE (AOS): _____
<p>DISCOUNT DEBIT-CALLING CARDS: USA____Int'l____Net2phone____
<p>INT'L "RINGBACK" DISCOUNT LONG-DISTANCE: _____
<p>
<hr WIDTH="100%">
<center>
<p><b> <font color="#0000A0">OFFICE USE ONLY:Please do not write below
this line</font></b></center>
<p>Representative Assigned:______________________ Date____________
<p>1st Contact & Date:_________________2nd Contact & Date___________
<p>Note:_______________________________________________________
<p>Result:______________________________________________________
<br>
<p>
<hr WIDTH="100%">
<br>Print this form and fax to: 001-202-478-0690 or 888-866-4842 (or attach
to email as either .htm or .html)
<br><center><!-- BEGIN LivePerson Button Code --><table border='0' cellspacing='0' cellpadding='0'><tr><td align='center'><a href='http://server.iad.liveperson.net/hc/63392527/?cmd=file&file=visitorWantsToChat&site=63392527&byhref=1&AEPARAMS' target='chat63392527' onClick="window.open('http://server.iad.liveperson.net/hc/63392527/?cmd=file&file=visitorWantsToChat&site=63392527&AEPARAMS&referrer='+document.location,'chat63392527','width=472,height=320');return false;"><img src='http://server.iad.liveperson.net/hc/63392527/?cmd=repstate&site=63392527&category=en;woman;1&ver=1&AEPARAMS' name='hcIcon' width=150 height=50 border=0></a></td></tr><tr><td align='center'><a href='http://server.iad.liveperson.net/hc/63392527/?cmd=PoweredByPage&site=63392527' target='_top'><img src='http://server.iad.liveperson.net/hc/63392527/?cmd=hccredit&site=63392527' width=106 height=35 border=0></a></td></tr></table><!-- END LivePerson Button code --></center>
<!-- BEGIN HumanTag Monitor. DO NOT MOVE! MUST BE PLACED JUST BEFORE THE /BODY TAG --><script language='javascript' src='http://server.iad.liveperson.net/hc/63392527/x.js?cmd=file&file=chatScript3&site=63392527&category=en;woman;1'> </script><!-- END HumanTag Monitor. DO NOT MOVE! MUST BE PLACED JUST BEFORE THE /BODY TAG -->
</body>
</html>