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?
Do you provide phone support?
Is the location/company you listed a satellite office or division?
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: