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Allworx Reseller Application

STEP 1: Allworx Reseller Application

Please complete the following application for approval to become an Authorized Allworx Reseller and click SUBMIT to send to Allworx. Once the application is approved, we will ask you to complete a Reseller Agreement and purchase an Allworx Demo Kit (link to purchase demo page). An Allworx representative will contact you within one business day (24 hours) and guide you through the next two stages in the process.

Required fields are denoted as *
Company Info
  
Owner/Princpal
* Company Name:  
 
* First Name:  
* Street Address 1:  
  
* Last Name:  
Street Address 2:  
  
* Title:  
* City:  
  
Cell Phone:  
* State:  
  
* Office Phone:  
* Zip:  
  
Extension:  
Website:  
  
* Email:  
     
* Retype Email:  
* Years in Business:  
      
* Annual Revenue:  
  
* Install Services Offered
* # of Additional Locations:  
  
Phone Systems?  
- Yes      - No
* Geographical Coverage:  
  
PC Networks?  
- Yes      - No
* Customer Support Hours:  
 to  
Wiring & Cabling?  
- Yes      - No
* # of Employees:  
  
# of customers:  
* # of Inside Sales:  
  
% of Cust. In SMB:  
* # of Outside Sales:  
  
Average Sale $:  
* # of Customer Support:  
      
* # of Installation Techs:  
  
* Voice Systems Sold
     
3com:  
- Yes      - No
* Where Do You Buy?
 
Avaya:  
- Yes      - No
Distributors:
- Yes - No  
Cisco:  
- Yes      - No
List: 
      
Nortel:  
- Yes      - No
Manufacturers:
 - Yes - No  
Samsung:  
- Yes      - No
List: 
      
Shortel:  
- Yes      - No
Other Sources:
- Yes - No  
None:  
- Yes      - No
List: 
      
Other:  
       
How did you hear about us?
Other Contacts In The Company:
All contacts will be given access to the Allworx Reseller Portal after paperwork and purchase of your Demo kit are completed.
# of Other Contacts:
Additional Comments:

We appreciate your time and consider this information confidential.
See our Privacy Policy on the collection and dissemination of personally identifiable information.