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2X Partner Form

Company:

*

Address 1:

*

Address 2:

Address 3:

City:

*

State:

Zip/Post code:

*

Country:

*

Telephone:

*

Fax:

*

Contact First Name:

*

Contact Last Name:

*

Email:

*

Website URL:

*

VAT number (for EU companies):

Sales contact person:

*

Sales contact email:

*

Support contact:

*

Support contact email:

*

Do you have an Online Webshop?

Yes No


Do you provide phone support?

Yes No
   

Is the location/company you listed a satellite office or division?

Yes No
   

Year company founded:

*
   

What are your company's annual sales?

   

What is your company's primary business?

   

How many employees does your company have?

*
   

Have you installed and configured 2X Software products?

Yes No

   

Do you sell Server Based Computing Software or Thin Client Hardware? If yes which

   

Notes / Comments: