Targus Australia PartnerVantage Program - Online Enrollment  CONTACT INFORMATION Company Name:* Job Title:* Department: Salutation: Contact First Name:* Contact Last Name:* Contact Address:* Contact Address 2: Contact Suburb:* Contact State:* Contact Postcode:* Contact Country:* Contact Phone:* Mobile Number: Contact Fax: Contact Email:* Company Web Site:* Head-Office Address:(if different from above contact address) Head-Office Address 2: Head-Office City: Head-Office State: Head-Office Postcode: Head-Office Country:  COMPANY INFORMATION Statement: I hereby certify that I/Company  holding ABN     is engaged in the business of selling . Year Established: Number of Employees: 1-10 10-25 25-50 50-100 100-250 250-500 500-1000 1000+ Annual Sales Revenue: 250k – 500k 500k – 1m 1m – 5m 5m – 10m 10m – 20m 20m – 50m 50m – 100m 100 m + Monthly Notebook/Laptop Volume: 0-50 50-100 100-250 250-500 500-1000 1000-2500 2500+ Whose brands of note books do you resell? Mark all that apply. AcerAppleAsus CompaqDellHP LenovoLGPanasonic SamsungSonyToshiba Other, Please Specify     Business Type: Store-Front RetailerEcommerceIntegrator ConsultingManufacturerSystem Builder Other, please list:     Distributors: BlueChip InfotechDicker DataIngram Micro Australia Ingram Micro New ZealandLeader Systems Other, please list:     Vertical Market Specialty: ConsumerCorporateEducation – K-12/Higher Gov't - FederalGovernment – State/FederalSmall/Med Business Other, please list:     Do you currently resell Targus Products? Cases Accessories Both No Targus Products Resold What other brands of mobile accessories do you resell? Any Additional information?