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Reseller Survey

* = required information

Your Information

* Your Name

* E-mail

Company Information

* Company Name

Company Web Site URL

Phone

Fax

E-mail

Shipping Address

Street

City

State


U.S. and Canada only

Country

Zip/Postal Code

Mailing Address

Same as above

Street

City

State


U.S. and Canada only

Country

Zip/Postal Code


Your Web Site

Do you have a link to Bitstream on your web site?
Yes
No


Would you like a link to your Web site from the Bitstream Reseller pages?
(If Yes, please list the countries in your sales area)
Yes:
No

Company Contact Information

How do you want Bitstream to contact you about new products?

Contact Name

Phone

Phone Number

Fax

Fax Number

E-mail

E-mail Address

Postal Address

Shipping Address


How should Bitstream refer customers to you?

Same as above

Contact Name

Phone

Phone Number

Fax

Fax Number

E-mail

E-mail Address

Postal Address

Shipping Address


How should Bitstream send Technical Support information to you?

Same as above

Contact Name

Phone

Phone Number

Fax

Fax Number

E-mail

E-mail Address

Postal Address

Shipping Address

 


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