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REDFLY Windows Mobile Left

REDFLY Reseller Application

Note:red denotes required field

Part A: Company Information
General Background
Business Name
Doing Business As (DBA)
Street Address
City: State: Zip:
Main Phone Number: Fax Number:
Web Address (URL)
Federal Tax ID Number:
Dun & Bradstreet Number:
Key Executives Please list your organization?s key executives and their titles
NameTitle
1.
2.
3.
Correspondence Celio strives to communicate new product updates and information to its Dealers in a timely and efficient manner, oftentimes via email. Please indicate below the specific people within your organization and any additional contacts you wish to receive these informational updates on our wireless products and services:
Contracts:
Person responsible for signing dealer contracts and agreements on company?s behalf
NamePhoneEmail
Sales:
Primary sales contact for wireless products within your organization
NamePhoneEmail
Marketing:
Person responsible for marketing of wireless products to your customers
NamePhoneEmail
Additional Contacts:
NamePhoneEmail

Part B: Business Profile
Type of Organization Corporation Sole Proprietor Partnership Other
Check if your organization has a parent company.
Number of Years in Business:
Date established:
Show Calendar Control
Company Description & Target Customers:
Describe your company?s application or value-added proposition:
Describe your target customer(s) in terms of industry, size, etc:
Check if you presently have a selling relationship with any wireless carriers.
What type of operating systems do the SmartPhones you sell currently run on?(Check all that apply)
Windows Android Blackberry Symbian Palm
Which wireless vertical applications do you currently sell into? (Check all that apply)
Field Service Transportation Mobile CRM Public Safety
Other:
Financial Info Please complete with your company's info
2010 ProjectedLast Year
Annual Revenue
Number of Employees
Number of Wireless Smartphones Sold
Do you have a retail Location? Yes No
Do you have a B2B Staff? Yes No
Do you sell wireless products via the Internet? Yes No
Personnel Please list the number of employees in the following roles:
Executive Customer Support Sales
Development Tech Support Other
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