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CHANNEL PARTNERS:  PartnerVantage Program
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FOR MORE INFORMATION
Contact:
Targus PartnerVantage Program
FAX: 1-866-400-5675
partnersupport@targus.com
Targus PartnerVantage™ Program - Online Enrollment
 CONTACT INFORMATION
Company Name:*
Job Title:*
 Department:
Contact Salutation:
 Contact First Name:*
 Contact Last Name:*
Contact Address:*
Contact Address 2:
Contact City:*
Contact State:*
 Contact Zip/Postal Code:*
 Contact Country:*
Contact Phone:*
 Extension:
 Contact Fax:
Contact Email:*
 Company Web Site:*
Head-Quarter Address:(if different from above contact address)
Head-Quarter Address 2:
Head-Quarter City:
Head-Quarter State:
 Head-Quarter Zip/Postal Code:
 Head-Quarter Country:
 COMPANY INFORMATION
Statement: I HEREBY CERTIFY that I hold a valid seller's permit No. # issued
pursuant to the Sales and Use Tax law; that I am engaged in the business of selling
.
Year Established:
 Number of Employees:
 Annual Sales Revenue:
Monthly Notebook/white book/laptop Volume:
Whose brands of note books do you resell? Mark all that apply.
Other, please list:    
Business Type:
Other, please list:    
Monthly System Volume:
Distributors:
Other, please list:    
Vertical Market Specialty:
Other, please list:    
Define you primary business. If more than one type applies, mark all that apply from 1-5, with 1 being the most business and 5 being the least business.
System Builder - Primarily build notebooks and desktops for:
SMB
Fortune 1000
Government (Federal, State or Local), and Education
Store Front (Sell to Consumer, SOHO and SMB)
Other, please list:  
VAR - Primarily sells branded notebooks and desktops to:
SMB
Fortune 1000
Government (Federal, State or Local), and Education
Store Front (Sell to Consumer, SOHO and SMB)
Other, please list:  
Do you currently resell Targus Products?
What other brands of mobile accessories do you resell?
Notes (any further instructions, alternate address, etc.)
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