Targus PartnerVantage™ Canada Program - Online Enrollment (Account Manager / Sales)  CONTACT INFORMATION Company Name:* Job Title:* Salutation: Contact First Name:* Contact Last Name:* Contact Address:* Contact Address 2: Contact City:* Contact Province:* Contact Postal Code:* Contact Country:* Canada Contact Phone:* Extension: Contact Fax: Contact Email:* Company Web Site:* Number of years employed with the company:  GENERAL INFORMATION Annual Notebook/white book/laptop unit volume: 0-250 250-500 500-5000 5000+ Annual Desktop Systems unit volume: 0-250 250-500 500-5000 5000+ Whose brands of note books do you resell? Mark all that apply. AcerAppleCompaq DellFujitsuHP IBM/LenovoLGPanasonic SonyToshibaWhite book Other, please list:     Vertical Market Specialty: Advertising/Design/PublishingBusinessConsumer Corporate EnterpriseEntertainmentFinance Gov't - FederalGov't - MunicipalGov't - Provincial Higher EducationK-12 EducationLegal MedicalPrivate EducationReal Estate Small/Med. BusinessWhite Box/System Builder Other, please list:     Define your primary accounts. If more than one type applies, rate all that apply from 1-5, with 1 being most of the business and 5 being the least business. N/A 1 2 3 4 5 SMB N/A 1 2 3 4 5 Fortune 500 N/A 1 2 3 4 5 Government (Federal, Municipal or Provincial), and Education N/A 1 2 3 4 5 Store Front (Sell to Consumer/Retail) N/A 1 2 3 4 5 Other, please list:   Do you currently resell Targus Products? Cases Accessories Both No Targus Products Resold What other brands of mobile accessories do you sell? Notes (any further instructions, alternate address, etc.) Thank You for registering with Targus Partervantage Canada program. An email will be sent to you shortly to confirm your registration. By submitting this application, you are stating the information you have given is true and correct to the best of your knowledge. Targus reserves the right to modify or terminate the partner program at any time without notice or liability. Submitting this application does not ensure/guarantee acceptance/membership in the Targus Partner program.